Shane Gustafson, DO
NPI 1922017623 · Sports Medicine (Family Medicine) Physician · Bloomington, MN
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Gustafson, DO is a Sports Medicine (Family Medicine) Physician provider in Bloomington, MN (NPI 1922017623).
Provider details
- NPI number
- 1922017623
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34-008344 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
600 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 151 | $124 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 114 | $174 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 91 | $70 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 70 | $159 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $88 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 69 | 37 |
| Methylprednisolone | 36 | 34 |
| Cyclobenzaprine Hcl | 31 | 21 |
| Tizanidine Hcl | 18 | — |
| Diazepam | 17 | 17 |
| Diclofenac Sodium | 16 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 15 | 12 |
Practice location
Mailing address
Additional practice locations (1)
- 1901 Connecticut Ave SSartell, MN 56377Phone: (320) 229-2118Fax: (320) 259-8044
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2021-06-17
- Certified
- 2021-06-17
Frequently asked questions
- What is Shane Gustafson's NPI number?
- Shane Gustafson's National Provider Identifier (NPI) is 1922017623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Gustafson's specialty?
- Shane Gustafson is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Gustafson located?
- Shane Gustafson's practice location on file with NPPES is 8100 Northland Dr, Bloomington, MN 55431-4800.
- What is Shane Gustafson's phone number?
- The practice phone number listed in the NPPES registry for Shane Gustafson is (952) 831-8742.
- Does Shane Gustafson accept Medicare?
- Shane Gustafson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Gustafson's NPI active?
- Yes — Shane Gustafson's NPI (1922017623) is active in the NPPES registry as of the last update on 2021-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.