Doctor profile · Federal record
Dr. Shane Gustafson, DO
Sports Medicine (Family Medicine) Physician (CMS: Sports Medicine) · Sports Medicine (Family Medicine) Physician · Bloomington, MN
- NPI 1922017623
- Accepts Medicare
- 23 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
8100 Northland Dr
Bloomington, MN 554314800
(952) 831-8742 - Additional location
-
1901 Connecticut Ave S
Sartell, MN 56377
(320) 229-2118
fax (320) 259-8044 - Mailing address
-
8170 33Rd Ave S # MS 21110Q
Bloomington, MN 554254516
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- June 17, 2021
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207QS0010X — NUCC code
- State licenses (2)
- Minnesota #50252 · Ohio #34-008344
- Medicaid
- MN #935408000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922017623. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,272
Distinct HCPCS
8
Medicare allowed
$54,437
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 820 | 92 | $1 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 104 | 87 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 72 | 55 | $87 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 69 | 68 | $167 | |
20611 |
Aspiration and/or injection of fluid large joint using ultrasound guidance | 57 | 40 | $107 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $158 | |
20610 |
Aspiration and/or injection of fluid from large joint | 54 | 46 | $68 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $109 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 183. This provider delivers 7.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
190
Patients
153
Total drug cost
$1,439
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methylprednisolone | Generic | 55 | 55 | $629 |
| Cyclobenzaprine Hcl | Generic | 39 | 34 | $193 |
| Tramadol Hcl | Generic | 34 | 23 | $117 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 33 | 17 | $329 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 29 | 24 | $172 |
Frequently asked questions
What is Dr. Shane Gustafson's medical specialty?
Dr. Shane Gustafson practices Sports Medicine (Family Medicine) Physician in Bloomington, MN.
Where does Dr. Shane Gustafson practice?
Dr. Shane Gustafson practices at 8100 Northland Dr, Bloomington, MN 554314800. Office phone: 9528318742.
What is Dr. Shane Gustafson's NPI?
Dr. Shane Gustafson's National Provider Identifier (NPI) is 1922017623, issued by NPPES.
Does Dr. Shane Gustafson accept Medicare assignment?
Yes. Dr. Shane Gustafson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Gustafson commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.