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Active NPI 1295754752 Individual Practitioner Male Practitioner

Paul Russell Gustavson , PA-C

Physician Assistant • Eureka, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Paul Gustavson, PA-C is a certified Physician Assistant practicing in Eureka, CA. With approximately 23 years of clinical experience since completing medical education in 2003, Paul Gustavson delivers high-quality medical care to the local community at 2826 HARRIS ST.

Paul Gustavson is affiliated with Providence Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include telephone medical discussion with physician, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2826 Harris St

Eureka, CA 955034809

Telephone 7074438066
Fax 7072683250
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eureka, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +13.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
41 Specialists

Practicing in Eureka, CA (14617 Statewide)

Telehealth Adoption Rate
17.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gustavson (23 Years) 23 Yrs
Eureka Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes
567 508 $212.00 $54.93
99443 Telephone medical discussion with physician, 21-30 minutes
179 171 $314.00 $81.25

Medical Specialties & State Licenses

CMS Verified: 2021-11-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA17059

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0PA170590 (CA)

Hospital & Practice Group Affiliations

Providence Medical Foundation

200 W Ctr St Promenade, Anaheim, CA 928053960

Providence Medical Foundation

500 Doyle Park Dr, Santa Rosa, CA 954054559

Providence Medical Foundation

2700 Dolbeer St, Eureka, CA 955014736

Phone: 7074458121

Providence Medical Foundation

2710 Dolbeer St, Eureka, CA 955014736

Phone: 7072672060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Nathan Shishido , MD

Orthopaedic Surgery

NPI 1124052725

Doctor of Medicine (M.D.)

Dr. Edward Emmons , MD

Orthopaedic Surgery

NPI 1215967773

Doctor of Medicine (M.D.)

Dr. Raymond Koch , MD

Orthopaedic Surgery

NPI 1245268549

Doctor of Medicine (M.D.)

Lance Rivas , PA

Physician Assistant

NPI 1346422821

Physician Assistant

Dr. John Kurylo , MD

Orthopaedic Surgery

NPI 1467611988

Doctor of Medicine (M.D.)

Dr. Williiam Kilgore , MD

Orthopaedic Surgery

NPI 1508891029

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2009

Registered at 2826 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074438066)

📍
Updated Business Mailing Address May 21, 2009

Registered at 2826 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074438066)

👤
Provider Name / Credentials Updated May 21, 2009

Recorded as PAUL GUSTAVSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2009

Physician Assistant (License #PA17059 in CA)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295754752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: November 02, 2021
Sole Proprietor: No

Mailing Address

2826 Harris St

Eureka, CA 955034809

Phone: 7074438066

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.