Active NPI 1538350707 Individual Practitioner Female Practitioner

Dr. Monica R Gustafson , MD

Surgery • Tucson, AZ

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Monica Gustafson, MD is a registered Surgery practitioner in Tucson, AZ. With approximately 19 years of clinical practice since graduating from University Of Arizona College Of Medicine in 2007, Dr. Gustafson provides healthcare services at the registered practice location at 1501 N CAMPBELL AVE.

Dr. Gustafson maintains professional affiliations with Agave Surgical Associates Pc, Tmc Medical Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new 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

1501 N Campbell Ave

Tucson, AZ 857240001

Telephone 5206267747

Fax 5206262247

Associated Practice Facility / Clinic

🏢 Banner - University Medical Center Tucson Campus Llc Facility NPI 1588614911

Medicare Profile & Education

Medical School

University Of Arizona College Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tucson, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -3.7 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

184 Specialists

Practicing in Tucson, AZ (801 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gustafson (19 Years) 19 Yrs

Tucson Specialty Average (22.7 Years) 22.7 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	32	$79.00	$47.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	22	$151.60	$78.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$330.00	$167.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$295.00	$129.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$215.00	$125.94
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$220.00	$79.29
99497 Advance care planning, first 30 minutes	21	21	$157.00	$75.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	15	$290.00	$181.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$414.00	$220.43
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$146.00	$91.03
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$733.73	$351.42

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	50	18	$145.00	$78.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	28	$215.00	$125.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	21	$79.00	$48.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$295.00	$128.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$290.00	$176.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$414.00	$216.51
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$220.00	$81.85
99497 Advance care planning, first 30 minutes	16	16	$157.00	$74.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$330.00	$152.43

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	60	31	$145.00	$70.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	54	$286.27	$133.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	20	$79.00	$38.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	22	$290.00	$173.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$330.00	$159.81
99497 Advance care planning, first 30 minutes	24	24	$157.00	$76.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$215.00	$126.63
49650 Repair of groin hernia using an endoscope	13	13	$1277.38	$534.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$414.00	$220.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$424.91	$194.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	23	$79.00	$38.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	25	$290.00	$180.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$275.00	$135.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	20	$145.00	$71.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$215.00	$129.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$330.00	$167.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$414.00	$221.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	109	44	$79.00	$39.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	69	$275.00	$138.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	33	$215.00	$108.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	24	$145.00	$72.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	16	$290.00	$145.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$330.00	$164.10
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$146.00	$74.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$406.00	$203.76
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$1083.33	$278.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$38.00	$18.91
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1496.00	$701.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$414.00	$207.85

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	92	47	$145.00	$70.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	76	$275.00	$134.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	41	$79.00	$38.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	40	$215.00	$107.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$330.00	$162.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$406.00	$201.47
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1479.18	$722.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	132	50	$102.37	$37.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	92	86	$330.12	$129.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	36	$177.76	$69.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	23	$215.00	$105.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$330.00	$161.54
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$274.07	$96.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	13	$38.00	$18.46
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$1000.00	$251.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1777.25	$694.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	134	57	$94.72	$37.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	92	$322.39	$131.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	48	$173.20	$69.02
99213 Established patient office or other outpatient visit, typically 15 minutes	45	28	$146.00	$71.89
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$38.00	$18.85
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$246.08	$96.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$216.00	$106.28
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$1000.00	$265.10

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 82000

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Agave Surgical Associates Pc

5240 E Knight Dr, Tucson, AZ 857122122

Phone: 5203205665

Tmc Medical Network

5301 E Grant Rd, Tucson, AZ 857122805

Phone: 5203244230

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Bashir Koko , MBBS

Surgery

NPI 1003538273

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Shamele Battan-Wraith

Student in an Organized Health Care Education/Training Program

NPI 1033789060

Rafael Guzman

Surgery

NPI 1043007867

Dr. Marwan Sheckley , DO

Surgery

NPI 1053055822

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Dacey , MD

Surgery

NPI 1093160327

Doctor of Medicine (M.D.)

Dr. Erika Kness-Knezinskis , MD

Surgery

NPI 1093398893

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 August 05, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2007

Registered at 1501 N CAMPBELL AVE, TUCSON, AZ 857240001 (Tel: 5206267747)

📍

Updated Business Mailing Address August 05, 2007

Registered at 1501 N CAMPBELL AVE, P.O. BOX 245066, TUCSON, AZ 857240001 (Tel: 5206267747)

👤

Provider Name / Credentials Updated August 05, 2007

Recorded as MONICA GUSTAFSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2007

Surgery (License #82000 in AZ)

🟢

Initial NPI Registration & Enumeration August 05, 2007

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: 1538350707

Entity Type:

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

Enumeration Date: August 05, 2007

Last Update: August 05, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1501 N Campbell Ave, P.o. Box 245066

Tucson, AZ 857240001

Phone: 5206267747

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.