Active NPI 1083127203 Individual Practitioner Female Practitioner

Maxine Rae Gustafson , PA-C

Physician Assistant • Edina, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Maxine Gustafson, PA-C is a certified Physician Assistant practicing in Edina, MN. With approximately 9 years of clinical experience since completing medical education in 2017, Maxine Gustafson delivers high-quality medical care to the local community at 6525 FRANCE AVE S STE 200.

Maxine Gustafson maintains professional affiliations with Allina Health System, Minnesota Urology, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, ultrasound measurement of bladder capacity after voiding, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6525 France Ave S Ste 200

Edina, MN 554352176

Telephone 9529276501

Fax 9526531433

Associated Practice Facility / Clinic

🏢 Fairview Express Care Facility NPI 1164013348

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edina, MN

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -0.6 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

146 Specialists

Practicing in Edina, MN (4026 Statewide)

Telehealth Adoption Rate

19.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gustafson (9 Years) 9 Yrs

Edina Specialty Average (9.6 Years) 9.6 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
81002 Urinalysis, manual test	132	83	$22.00	$3.38
51798 Ultrasound measurement of bladder capacity after voiding	118	82	$143.00	$11.26
99213 Established patient office or other outpatient visit, typically 15 minutes	98	71	$299.00	$75.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	62	$522.22	$103.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	52	$332.64	$62.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$425.00	$104.25
87086 Bacterial colony count, urine	39	23	$66.00	$7.30
87088 Bacterial urine culture	25	12	$43.00	$6.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$550.00	$137.67
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	24	12	$46.00	$7.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	19	$165.97	$39.60
51700 Simple bladder irrigation and/or instillation	11	11	$331.00	$64.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	126	84	$22.00	$3.38
51798 Ultrasound measurement of bladder capacity after voiding	117	88	$143.00	$10.71
99213 Established patient office or other outpatient visit, typically 15 minutes	113	78	$299.00	$75.85
87086 Bacterial colony count, urine	45	27	$66.00	$7.91
87088 Bacterial urine culture	38	20	$43.00	$7.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	35	$146.67	$38.29
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	37	19	$46.00	$8.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	28	$285.96	$65.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$368.00	$93.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$558.34	$106.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$550.00	$133.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$425.00	$107.24
51700 Simple bladder irrigation and/or instillation	12	12	$331.00	$64.91
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$390.78	$67.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	134	112	$22.00	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	130	118	$143.00	$10.44
99213 Established patient office or other outpatient visit, typically 15 minutes	112	91	$296.88	$75.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	44	$273.79	$58.35
87086 Bacterial colony count, urine	37	30	$66.00	$7.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	24	$512.08	$110.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$406.23	$107.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$368.00	$92.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$550.00	$139.09
87088 Bacterial urine culture	17	17	$43.00	$7.98
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	17	$46.00	$8.53
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$417.40	$82.14
36415 Insertion of needle into vein for collection of blood sample	11	11	$15.00	$2.74

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	117	81	$281.15	$59.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	60	$467.00	$112.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	25	$113.43	$31.37
99221 Initial hospital inpatient care per day, typically 30 minutes	43	43	$402.63	$83.26
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$220.00	$77.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$423.00	$86.25
81002 Urinalysis, manual test	18	15	$22.00	$3.48
51798 Ultrasound measurement of bladder capacity after voiding	17	15	$143.00	$10.45

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	41	34	$285.27	$60.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	25	$110.40	$32.88
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$378.59	$84.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	15	$417.00	$87.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$459.82	$114.94

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	102	71	$276.51	$60.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	29	$112.73	$32.42
99221 Initial hospital inpatient care per day, typically 30 minutes	42	41	$392.30	$82.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$411.61	$112.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	12	$399.60	$85.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	42	$111.21	$32.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	41	$228.12	$60.20
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$366.40	$83.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$377.95	$112.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$511.00	$167.79

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 12582

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.

Hospital & Practice Group Affiliations

Allina Health System

800 E 28th St, Minneapolis, MN 554073723

Minnesota Urology, Pa

6025 Lake Rd, Woodbury, MN 551251710

Phone: 6519996800

Minnesota Urology, Pa

7500 France Ave S, Edina, MN 554353400

Phone: 9529276501

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Phone: 6128634000

Minnesota Urology, Pa

1185 Town Centre Dr, Eagan, MN 551231189

Phone: 6519996800

Practice Associates & Co-Workers

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

28 Associated Practitioners

Maisy Sanneman , PA-C

Physician Assistant

NPI 1013105907

Physician Assistant (Certified)

Cassandra Farmer , PA-C

Physician Assistant

NPI 1023648235

Physician Assistant (Certified)

Dr. Thomas Rivers , MD

Urology

NPI 1033168018

Doctor of Medicine (M.D.)

Dr. Randolph Peterson , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1053380204

Doctor of Medicine (M.D.)

Dr. Andrew Bergersen , MD

Urology

NPI 1063899250

Doctor of Medicine (M.D.)

Sida Bai , PA

Physician Assistant

NPI 1093283608

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 6525 FRANCE AVE S STE 200, EDINA, MN 554352176 (Tel: 9529276501)

📍

Updated Business Mailing Address November 09, 2017

Registered at 6525 FRANCE AVE S STE 200, EDINA, MN 554352176 (Tel: 9529276501)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as MAXINE GUSTAFSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Physician Assistant (License #12582 in MN)

🟢

Initial NPI Registration & Enumeration November 09, 2017

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: 1083127203

Entity Type:

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

Enumeration Date: November 09, 2017

Last Update: November 09, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6525 France Ave S Ste 200

Edina, MN 554352176

Phone: 9529276501

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.