Doctor profile · Federal record
Dr. Thomas Gustafson, O.D.
Optometrist (CMS: Optometry) · Palatine, IL
- NPI 1164492096
- Accepts Medicare
- 37 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
96 W Northwest Hwy
Palatine, IL 600673571
(847) 358-7722
fax (847) 934-0661
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- March 13, 2020
- Year of graduation
- 1989 — 37 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Illinois #046008241
- Medicaid
- IL #046008241
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164492096. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
950
Distinct HCPCS
10
Medicare allowed
$82,803
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 304 | 294 | $134 | |
92250 |
Photography of the retina | 282 | 280 | $39 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 152 | 115 | $95 | |
92134 |
Imaging of retina | 51 | 48 | $42 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 37 | 37 | $102 | |
92083 |
Exam of visual field with extended testing | 30 | 28 | $64 | |
92133 |
Imaging of optic nerve | 29 | 29 | $35 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $175 | |
92014 |
Established patient complete exam of visual system | 21 | 21 | $129 | |
92020 |
Exam of the internal drainage system of eye | 16 | 16 | $28 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 71. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$736
Transactions
24
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas Inc. | 11 | $385.26 | |
| Amgen Inc. | 2 | $135.45 | |
| CooperVision Inc. | 5 | $108.39 | |
| Tarsus Pharmaceuticals, Inc. | 2 | $32.76 | |
| Alcon Vision LLC | 2 | $31.62 | |
| TearLab Corp | 1 | $23.97 | |
| BIOTISSUE HOLDINGS INC. | 1 | $18.23 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
180
Patients
49
Total drug cost
$21,030
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 79 | 29 | $1,146 |
| Timolol Maleate | Generic | 53 | 20 | $844 |
| Xiidra (Lifitegrast) | Brand | 15 | 0 | $15,724 |
| Fluorometholone | Generic | 11 | 0 | $782 |
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 11 | 0 | $150 |
| Simbrinza (Brinzolamide/Brimonidine Tart) | Brand | 11 | 0 | $2,384 |
Frequently asked questions
What is Dr. Thomas Gustafson's medical specialty?
Dr. Thomas Gustafson practices Optometrist in Palatine, IL.
Where does Dr. Thomas Gustafson practice?
Dr. Thomas Gustafson practices at 96 W Northwest Hwy, Palatine, IL 600673571. Office phone: 8473587722.
What is Dr. Thomas Gustafson's NPI?
Dr. Thomas Gustafson's National Provider Identifier (NPI) is 1164492096, issued by NPPES.
Does Dr. Thomas Gustafson accept Medicare assignment?
Yes. Dr. Thomas Gustafson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Thomas Gustafson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Photography of the retina (HCPCS 92250); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.