DR. MAXWELL GUSTAFSON (OD) – Optometrist, NPI 1720581333
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
106 OPTOMETRY in WY
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Provider Addresses for DR. MAXWELL GUSTAFSON (OD)
543, South David Street, Casper, Natrona County, Wyoming, 82601, United States
CASPER, WY 826013196
Phone: (307) 237-9494
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 $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alcon Vision LLC ($66).
Total Amount
$118
General + Research + Ownership
Payments
5
Total payment records
General Amount
$118
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
| Company | Amount |
|---|---|
| Alcon Vision LLC | $66 |
| Heidelberg Engineering, Inc. | $26 |
| LKC Technologies, Inc. | $26 |
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: 2018-07-20
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 |
|---|---|---|---|---|
| I20180720000933 | I | Optometry | WY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 692 | 549 | $0 |
| 92134 | Imaging of retina | 292 | 259 | $0 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 280 | 241 | $0 |
| 92133 | Imaging of optic nerve | 133 | 119 | $0 |
| 92083 | Exam of visual field with extended testing | 101 | 82 | $0 |
Insurance plans in this area (ZIP 82601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WY | |
| - | WY | |
| O P T O M E T R Y | WY | |
| O P T O M E T R Y | WY |
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