Doctor profile · Federal record
Dr. Holly Gustafson, MD
Internal Medicine Physician (CMS: Internal Medicine) · St Louis Park, MN
- NPI 1689842007
- Accepts Medicare
- 21 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3800 Park Nicollet Blvd
St Louis Park, MN 554162527
(952) 993-3123
Credentials & registration
- NPI registered
- February 2008 — 18 yrs on file
- Profile last updated
- January 4, 2019
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Minnesota #18672
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689842007. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
574
Distinct HCPCS
10
Medicare allowed
$30,767
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 147 | 82 | $8 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 86 | 62 | $173 | |
83036 |
Hemoglobin a1c level | 37 | 36 | $10 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 36 | 35 | $13 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 36 | 32 | $125 | |
85027 |
Complete blood cell count (red cells, white blood cell, platelets), automated test | 35 | 28 | $6 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $126 | |
99443 |
Telephone medical discussion with physician, 21-30 minutes | 32 | 14 | $124 | |
80048 |
Blood test, basic group of blood chemicals (calcium, total) | 31 | 28 | $8 | |
82570 |
Creatinine level to test for kidney function or muscle injury | 22 | 21 | $5 |
In context: peer comparison
Among 24 peers in St Louis Park Internal Medicine Physician, average services per provider: 436. This provider delivers 1.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,126
Patients
760
Total drug cost
$141,719
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 291 | 103 | $6,277 |
| Levothyroxine Sodium | Generic | 239 | 86 | $5,725 |
| Rosuvastatin Calcium | Generic | 219 | 75 | $6,016 |
| Omeprazole | Generic | 218 | 83 | $3,922 |
| Metoprolol Succinate | Generic | 171 | 57 | $4,220 |
| Lisinopril | Generic | 170 | 59 | $3,057 |
| Amlodipine Besylate | Generic | 159 | 57 | $2,848 |
| Losartan Potassium | Generic | 119 | 45 | $2,275 |
| Trazodone Hcl | Generic | 98 | 40 | $2,367 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 84 | 28 | $1,149 |
Hospital affiliations
Frequently asked questions
What is Dr. Holly Gustafson's medical specialty?
Dr. Holly Gustafson practices Internal Medicine Physician in St Louis Park, MN.
Where does Dr. Holly Gustafson practice?
Dr. Holly Gustafson practices at 3800 Park Nicollet Blvd, St Louis Park, MN 554162527. Office phone: 9529933123.
What is Dr. Holly Gustafson's NPI?
Dr. Holly Gustafson's National Provider Identifier (NPI) is 1689842007, issued by NPPES.
Does Dr. Holly Gustafson accept Medicare assignment?
Yes. Dr. Holly Gustafson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Holly Gustafson commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99215); Hemoglobin a1c level (HCPCS 83036). Source: CMS Medicare Physician & Other Practitioners file.