DR. PAUL L. GUSTAFSON (O.D.) – Optometrist, NPI 1184666422

DR. PAUL L. GUSTAFSON (O.D.) is a healthcare provider. based in Casper, Wyoming. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 267T (WY). The NPI Number for DR. PAUL L. GUSTAFSON (O.D.) is 1184666422

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL L. GUSTAFSON (O.D.)
NPI
1184666422
Phone
(307) 237-9494
Address
543 S DAVID ST
Enumeration Date
12 June 2006
Last Update Date
20 October 2015

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3072379494
Graduation Year
2000 (26 years ago)
PAC ID
5991710907
Group Practice PAC ID
4284616723
Professional Enrollment ID
I20060213000552
Address ID
WY826016073CA3501XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

106 OPTOMETRY in WY

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Provider Addresses for DR. PAUL L. GUSTAFSON (O.D.)

  • 543, South David Street, Casper, Natrona County, Wyoming, 82601, United States

    CASPER, WY 826013196

    Phone: (307) 237-9494

    Fax: (307) 237-1370

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alcon Vision LLC ($46).

Total Amount

$113

General + Research + Ownership

Payments

5

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-02-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060213000552IOptometryWYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes800655$0
92134Imaging of retina349289$0
92202Extended exam of the back part of the eye with optic nerve drawing275220$0
99214Established patient office or other outpatient visit, 30-39 minutes176161$0
99212Established patient office or other outpatient visit, 10-19 minutes13298$0
View full utilization report →

Insurance plans in this area (ZIP 82601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284616723View full group profile
NameSpecialtyState
O P T O M E T R YWA
-WY
O P T O M E T R YWY
O P T O M E T R YWY
O P T O M E T R YWY

Reviews

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Frequently asked questions

What identifier follows DR. PAUL L. GUSTAFSON (O.D.) across health systems?
The NPI 1184666422 uniquely identifies DR. PAUL L. GUSTAFSON (O.D.) in U.S. healthcare data.
Is DR. PAUL L. GUSTAFSON (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. PAUL L. GUSTAFSON (O.D.) as active.
What services align with DR. PAUL L. GUSTAFSON (O.D.)'s listing?
DR. PAUL L. GUSTAFSON (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PAUL L. GUSTAFSON (O.D.)?
DR. PAUL L. GUSTAFSON (O.D.) is associated with Casper, Wyoming in the same public data insurers reference.
Can I export DR. PAUL L. GUSTAFSON (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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