KATELYN GUSTAFSON (PA-C) – Physician Assistant, NPI 1215636121
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for KATELYN GUSTAFSON (PA-C)
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 631418261
Phone: (314) 251-6440
Fax: (314) 251-4456
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $3,266.
Total Amount is formed as General ($3,266) + Research ($0) + Ownership ($0) = $3,266.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Arthrex, Inc. ($1,712).
Total Amount
$3,266
General + Research + Ownership
Payments
33
Total payment records
General Amount
$3,266
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,712 |
| Zimmer Biomet Holdings, Inc. | $724 |
| Gemini Mountain Medical, LLC | $429 |
| Stryker Corporation | $255 |
| Smith+Nephew, Inc. | $145 |
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: 2025-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230403002615 | I | Physician Assistant | CO | TBD |
| I20251107003499 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 520 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 53 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 43 | 40 | $0 |
| 73564 | X-ray of knee, 4 or more views | 33 | 22 | $0 |
| 73503 | X-ray of hip, minimum of 4 views | 26 | 22 | $0 |
Insurance plans in this area (ZIP 63141)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physical Therapist In Private Practice | PA | |
| Orthopedic Surgery | CO | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Physical Therapist In Private Practice | CO | |
| Physical Therapist In Private Practice | CO | |
| - | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.