LYNN K GUSTAFSON (DPM) – Podiatrist, NPI 1124006143
Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
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Provider Addresses for LYNN K GUSTAFSON (DPM)
Premiere Drive, Mankato, Blue Earth County, Minnesota, 56001, United States
MANKATO CLINIC @ WICKERSHAM CAMPUS
MANKATO, MN 56001
Phone: (507) 625-1811
Type: Location
Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States
1230 E MAIN ST
MANKATO, MN 560028674
Phone: (507) 625-1811
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $290.
Total Amount is formed as General ($290) + Research ($0) + Ownership ($0) = $290.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Stryker Corporation ($168).
Total Amount
$290
General + Research + Ownership
Payments
2
Total payment records
General Amount
$290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $168 |
| Foundation Medical, Llc | $121 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100220000349 | I | Podiatry | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 63 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 62 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 56001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Diagnostic Radiology | CO | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| General Surgery | MN | |
| Diagnostic Radiology, Internal Medicine | MN | |
| N E U R O L O G Y | MN |
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