Doctor profile · Federal record
Dr. Tesha Gustafson, O.D.
Optometrist (CMS: Optometry) · Kenmare, ND
- NPI 1467807230
- Accepts Medicare
- 10 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
28 2Nd St Nw
Kenmare, ND 587467114
(701) 385-4004
fax (701) 385-4005 - Additional location
-
102 S Main St
Stanley, ND 587845878
(701) 628-3232 - Additional location
-
403 5Th St Se
Stanley, ND 587844110
(701) 629-0208
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- February 4, 2019
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- North Dakota #745
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467807230. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
740
Distinct HCPCS
9
Medicare allowed
$67,182
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 313 | 283 | $117 | |
92134 |
Imaging of retina | 101 | 91 | $40 | |
92012 |
Established patient problem focused exam of visual system | 78 | 51 | $86 | |
92004 |
New patient complete exam of visual system | 64 | 64 | $125 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 50 | 39 | $88 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 38 | 23 | $90 | |
92133 |
Imaging of optic nerve | 36 | 31 | $35 | |
92250 |
Photography of the retina | 33 | 32 | $37 | |
92083 |
Exam of visual field with extended testing | 27 | 25 | $62 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 82. This provider delivers 9.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
257
Patients
75
Total drug cost
$28,802
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 82 | 19 | $1,514 |
| Fluorometholone | Generic | 59 | 30 | $4,387 |
| Lumigan (Bimatoprost) | Brand | 35 | 0 | $10,370 |
| Prednisolone Acetate | Generic | 29 | 26 | $1,375 |
| Timolol Maleate | Generic | 17 | 0 | $233 |
| Brimonidine Tartrate | Generic | 12 | 0 | $767 |
| Travoprost | Generic | 12 | 0 | $1,448 |
| Restasis (Cyclosporine) | Brand | 11 | 0 | $8,709 |
Frequently asked questions
What is Dr. Tesha Gustafson's medical specialty?
Dr. Tesha Gustafson practices Optometrist in Kenmare, ND.
Where does Dr. Tesha Gustafson practice?
Dr. Tesha Gustafson practices at 28 2Nd St Nw, Kenmare, ND 587467114. Office phone: 7013854004.
What is Dr. Tesha Gustafson's NPI?
Dr. Tesha Gustafson's National Provider Identifier (NPI) is 1467807230, issued by NPPES.
Does Dr. Tesha Gustafson accept Medicare assignment?
Yes. Dr. Tesha Gustafson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tesha Gustafson commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Imaging of retina (HCPCS 92134); Established patient problem focused exam of visual system (HCPCS 92012). Source: CMS Medicare Physician & Other Practitioners file.