Active NPI 1316108970 Individual Practitioner Male Practitioner

Zachary R Gustavison , PA-C

Physician Assistant • Herrin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Zachary Gustavison, PA-C is a certified Physician Assistant practicing in Herrin, IL. With approximately 18 years of clinical experience since completing medical education in 2008, Zachary Gustavison delivers high-quality medical care to the local community at 201 S 14TH ST.

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

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, 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

201 S 14th St

Herrin, IL 629483631

Telephone 6189422171

Fax 6183514917

Associated Practice Facility / Clinic

🏢 Southern Illinois Hospital Services Facility NPI 1528158573

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 Physician Assistant in Herrin, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -1.8 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

28 Specialists

Practicing in Herrin, IL (4958 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gustavison (18 Years) 18 Yrs

Herrin Specialty Average (19.8 Years) 19.8 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	46	$1059.67	$141.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	21	$549.00	$97.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	26	$378.23	$64.55
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	13	$707.00	$125.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	11	$492.00	$87.69
99239 Hospital discharge day management, more than 30 minutes	18	17	$561.00	$93.56
99238 Hospital discharge day management, 30 minutes or less	16	14	$379.63	$66.03
99315 Nursing facility discharge day management, 30 minutes or less	14	13	$399.00	$66.61
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$877.00	$148.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	48	$310.45	$100.37
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	77	43	$379.00	$128.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	60	$611.93	$146.23
99239 Hospital discharge day management, more than 30 minutes	62	55	$305.00	$96.26
99316 Nursing facility discharge management, more than 30 minutes	29	29	$242.00	$110.12
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	24	20	$652.00	$176.09
99306 Initial nursing facility visit, typically 45 minutes per day	21	21	$473.00	$152.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	131	61	$311.47	$84.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	97	52	$374.05	$109.40
99239 Hospital discharge day management, more than 30 minutes	48	47	$306.02	$86.50
99316 Nursing facility discharge management, more than 30 minutes	41	39	$238.68	$85.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	35	$613.84	$164.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	12	$211.11	$59.61
99285 Emergency department visit for life threatening or functioning severity	24	23	$1161.83	$153.50
99306 Initial nursing facility visit, typically 45 minutes per day	24	23	$467.75	$135.51
99220 Hospital observation care, typically 70 minutes	23	22	$354.87	$147.87
99217 Hospital observation care on day of discharge	13	13	$219.23	$58.86

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	131	58	$202.30	$60.15
99239 Hospital discharge day management, more than 30 minutes	54	47	$295.57	$88.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	34	$257.44	$57.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	29	$150.34	$32.14
99221 Initial hospital inpatient care per day, typically 30 minutes	39	34	$289.95	$85.09
99316 Nursing facility discharge management, more than 30 minutes	34	34	$240.32	$87.45
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	30	28	$252.73	$74.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	28	15	$121.57	$36.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	17	$354.58	$86.73
99285 Emergency department visit for life threatening or functioning severity	18	18	$1157.00	$155.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	12	$244.35	$75.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$619.69	$167.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$388.15	$113.99

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	36	$197.68	$62.22
99239 Hospital discharge day management, more than 30 minutes	34	33	$292.06	$91.40
99285 Emergency department visit for life threatening or functioning severity	33	31	$1676.33	$151.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	19	$240.13	$77.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$739.67	$174.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	14	$308.67	$89.52
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	17	$340.05	$110.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$425.37	$118.68
99220 Hospital observation care, typically 70 minutes	13	13	$420.08	$158.81
99316 Nursing facility discharge management, more than 30 minutes	13	11	$225.38	$90.04
99219 Hospital observation care, typically 50 minutes	11	11	$307.82	$116.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	77	77	$1586.87	$149.98
99284 Emergency department visit with moderate level of medical decision making	47	47	$840.32	$101.75
99283 Emergency department visit with low level of medical decision making	40	40	$547.30	$53.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$418.73	$171.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	11	$197.00	$61.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	11	$247.33	$88.26
99220 Hospital observation care, typically 70 minutes	16	16	$250.13	$157.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	200	192	$1187.41	$147.95
99284 Emergency department visit with moderate level of medical decision making	82	80	$664.09	$100.58
99283 Emergency department visit with low level of medical decision making	46	45	$448.52	$52.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	22	$182.23	$87.70
99239 Hospital discharge day management, more than 30 minutes	15	14	$187.80	$90.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$358.00	$170.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	202	195	$1145.99	$147.86
99284 Emergency department visit with moderate level of medical decision making	139	136	$655.94	$100.29
99283 Emergency department visit with low level of medical decision making	76	72	$442.01	$52.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	75	75	$60.97	$7.13

Medical Specialties & State Licenses

CMS Verified: 2024-07-18

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-003467

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI 5601005286

Hospital & Practice Group Affiliations

Deaconess Illinois Specialty Clinic, Inc.

3333 W Deyoung St, Marion, IL 629595884

Phone: 6189987000

Secondary Practice Locations

605 N 12th St

Mount Vernon, IL 628642857

Phone: 5862632601

901 S Commercial St

Harrisburg, IL 629462640

Phone: 6189933817

2808 Outer Dr

Marion, IL 629595207

Phone: 6189933817

2 S Hospital Dr

Murphysboro, IL 629663333

Phone: 6186843156

405 W Jackson St

Carbondale, IL 629011462

Phone: 6185490721

1 Saint Anthonys Way

Alton, IL 620024568

Phone: 6184652571

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joe Yohannan , MD

Hospitalist

NPI 1003163148

Doctor of Medicine (M.D.)

Brian Wiggs , PT

Physical Therapist

NPI 1003880584

Physical Therapist

Dena Hentrich , RPH

Pharmacist

NPI 1043621733

Registered Pharmacist

Dr. Laura Haas , DPT

Physical Therapist

NPI 1063727667

Doctor of Physical Therapy

Sarah Kries , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063897908

Certified Registered Nurse Anesthetist

Dr. Sareer Zia , MD

Hospitalist

NPI 1073826269

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 July 18, 2024

Registered at 201 S 14TH ST, HERRIN, IL 629483631 (Tel: 6189422171)

📍

Updated Business Mailing Address July 18, 2024

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

📍

Updated Business Mailing Address August 22, 2019

Registered at 200 CORPORATE BLVD, LAFAYETTE, LA 705083870 (Tel: 8008939698)

👤

Provider Name / Credentials Updated August 22, 2019

Recorded as ZACHARY GUSTAVISON, PA-C

✅

NPI Profile Active October 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2010

Registered at 605 N 12TH ST, MOUNT VERNON, IL 628642857 (Tel: 5862632601)

📍

Updated Business Mailing Address October 20, 2010

Registered at 13361 TRESTLE RD, HIGHLAND, IL 622493029 (Tel: 5866040974)

👤

Provider Name / Credentials Updated October 20, 2010

Recorded as ZACHARY GUSTAVISON, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2010

Physician Assistant (License #085-003467 in IL)

🟢

Initial NPI Registration & Enumeration June 17, 2008

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: 1316108970

Entity Type:

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

Enumeration Date: June 17, 2008

Last Update: July 18, 2024

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.