LYNN K GUSTAFSON DPM NPI 1124006143

NPI Details

Lynn K Gustafson, DPM is a podiatrist in Mankato, MN with 35 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Lynn K Gustafson, DPM NPI is 1124006143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1990

The provider's business location address is:

1421 PREMIERE DR
MANKATO CLINIC @ WICKERSHAM CAMPUS
MANKATO, MN
ZIP 56001
Phone: (507) 625-1811

The NPI 1124006143 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Permanent removal fingernail or toenail (HCPCS:11750)
• Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/9/2006 and was last updated on 7/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.