Doctor profile · Federal record
Dr. Evan Gustavsen, PT, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Boise, ID
- NPI 1932754496
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2302 N Bogus Basin RD Ste C
Boise, ID 837021024
(208) 344-0737
fax (208) 344-0759
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Profile last updated
- April 9, 2026
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Idaho #6426
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1932754496. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,180
Distinct HCPCS
4
Medicare allowed
$32,308
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 857 | 36 | $28 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 219 | 30 | $20 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 79 | 12 | $21 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 25 | 21 | $95 |
In context: peer comparison
Among 47 peers in Boise Physical Therapist, average services per provider: 285. This provider delivers 4.1× the peer median.Frequently asked questions
What is Dr. Evan Gustavsen's medical specialty?
Dr. Evan Gustavsen practices Physical Therapist in Boise, ID.
Where does Dr. Evan Gustavsen practice?
Dr. Evan Gustavsen practices at 2302 N Bogus Basin RD Ste C, Boise, ID 837021024. Office phone: 2083440737.
What is Dr. Evan Gustavsen's NPI?
Dr. Evan Gustavsen's National Provider Identifier (NPI) is 1932754496, issued by NPPES.
Does Dr. Evan Gustavsen accept Medicare assignment?
Yes. Dr. Evan Gustavsen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Evan Gustavsen commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.