Active NPI 1508004706 Individual Practitioner Female Practitioner

Casey L Gustavison , ANP

Nurse Practitioner • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Casey Gustavison, ANP is a certified Nurse Practitioner practicing in Carbondale, IL. With approximately 18 years of clinical experience since completing medical education in 2008, Casey Gustavison delivers high-quality medical care to the local community at 409 W OAK ST.

Casey Gustavison is affiliated with Deaconess Illinois Specialty Clinic, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

409 W Oak St

Carbondale, IL 629011464

Telephone 6185294455

Fax 6183511287

Associated Practice Facility / Clinic

🏢 Southern Illinois Hospital Services Facility NPI 1154408581

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Carbondale, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +9.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

64 Specialists

Practicing in Carbondale, IL (4929 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gustavison (18 Years) 18 Yrs

Carbondale Specialty Average (8.5 Years) 8.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	190	108	$201.38	$64.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	150	88	$272.00	$96.74
99239 Hospital discharge day management, more than 30 minutes	120	115	$273.63	$93.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$353.27	$107.30
99238 Hospital discharge day management, 30 minutes or less	17	17	$189.12	$65.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	79	$188.49	$66.89
99238 Hospital discharge day management, 30 minutes or less	67	64	$189.00	$67.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	32	$272.00	$100.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$362.92	$110.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	42	$180.00	$59.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	37	$175.53	$60.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$255.00	$84.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$255.00	$84.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$345.00	$124.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	125	93	$180.00	$61.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$255.00	$67.66
99238 Hospital discharge day management, 30 minutes or less	14	14	$180.00	$58.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	127	$255.00	$67.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	61	$180.00	$61.94
99238 Hospital discharge day management, 30 minutes or less	11	11	$180.00	$61.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	55	$180.00	$61.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$255.00	$65.96
99238 Hospital discharge day management, 30 minutes or less	11	11	$180.00	$61.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$255.00	$65.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	119	$180.00	$60.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$255.00	$65.73
99238 Hospital discharge day management, 30 minutes or less	12	12	$180.00	$60.31

Medical Specialties & State Licenses

CMS Verified: 2020-10-30

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209008417

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

PENDING (IN)

Commercial Insurance / Payer ID Csr

71002863B (IN)

Commercial Insurance / Payer ID License

71002863A (IN)

Hospital & Practice Group Affiliations

Deaconess Illinois Specialty Clinic, Inc.

3333 W Deyoung St, Marion, IL 629595884

Phone: 6189987000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sandeep Banga , MD

Internal Medicine - Interventional Cardiology

NPI 1003266149

Doctor of Medicine (M.D.)

Meredith Flamm , PA-C

Physician Assistant

NPI 1003735838

Physician Assistant (Certified)

Dr. Cesar Coello , MD

Internal Medicine - Cardiovascular Disease

NPI 1003997560

Doctor of Medicine (M.D.)

Nathaniel Clark , PA

Physician Assistant

NPI 1063660074

Physician Assistant

Dr. Arslan Mirza , MD

Internal Medicine - Interventional Cardiology

NPI 1073928776

Doctor of Medicine (M.D.)

Dr. Vadzim Chyzhyk , MD

Internal Medicine - Cardiovascular Disease

NPI 1093128720

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 30, 2020

Registered at 409 W OAK ST, CARBONDALE, IL 629011464 (Tel: 6185294455)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2020

Nurse Practitioner (License #209008417 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Internal Medicine (License #209008417 in IL)

📍

Updated Business Mailing Address August 20, 2019

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

✅

NPI Profile Active July 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2014

Registered at 409 W OAK ST, CARBONDALE, IL 629011414 (Tel: 6185294455)

📍

Updated Business Mailing Address July 24, 2014

Registered at PO BOX 1105, INDIANAPOLIS, IN 462061105 (Tel: 6185495361)

👤

Provider Name / Credentials Updated July 24, 2014

Recorded as CASEY GUSTAVISON, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2014

Nurse Practitioner (License #209.008417 in IL)

🟢

Initial NPI Registration & Enumeration January 26, 2009

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: 1508004706

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 26, 2009

Last Update: October 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

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.