Doctor profile · Federal record
Dr. Gustaf Gibson, O.D.
Optometrist (CMS: Optometry) · Optometrist · Logan, UT
- NPI 1215917307
- Accepts Medicare
- 22 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
145 W Cache Valley Blvd
Logan, UT 843418473
(435) 787-9273
fax (435) 787-9275 - Mailing address
-
435 W 1140 N
Logan, UT 843416994
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- June 15, 2023
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- Utah #5823517-9934 · Oregon #2994T
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215917307. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
44
Distinct HCPCS
2
Medicare allowed
$5,677
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 25 | 25 | $119 | |
92004 |
New patient complete exam of visual system | 19 | 19 | $142 |
In context: peer comparison
Among 6 peers in Logan Optometrist, average services per provider: 48. This provider delivers 0.9× the peer median.Open Payments
Industry payments received
All-time total
$30
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 2 | $29.61 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
0
Total drug cost
$268
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 15 | 0 | $268 |
Frequently asked questions
What is Dr. Gustaf Gibson's medical specialty?
Dr. Gustaf Gibson practices Optometrist in Logan, UT.
Where does Dr. Gustaf Gibson practice?
Dr. Gustaf Gibson practices at 145 W Cache Valley Blvd, Logan, UT 843418473. Office phone: 4357879273.
What is Dr. Gustaf Gibson's NPI?
Dr. Gustaf Gibson's National Provider Identifier (NPI) is 1215917307, issued by NPPES.
Does Dr. Gustaf Gibson accept Medicare assignment?
Yes. Dr. Gustaf Gibson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gustaf Gibson commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); New patient complete exam of visual system (HCPCS 92004). Source: CMS Medicare Physician & Other Practitioners file.