Holly Gustafson, PAC
Physician Assistant · Grand Rapids, MI
Holly Gustafson, PAC is a physician assistant with a practice address in Grand Rapids, Michigan, and NPI 1922096239, issued on Oct 11, 2005. Check the license (Michigan 5601004148, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Holly Gustafson
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 5601004148 MI
Self-reported in NPPES; status is on the state search - Practice location
- 2770 E Beltline Ave NE, Grand Rapids, MI 49525
- Phone
- (616) 267-8860
- Enumerated
- Oct 11, 2005
- Entity
- Type 1 · individual
Also registered at 2770 E Beltline Ave NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kyle Alexander, MDSports Medicine (Family Medicine) Physician1902335912
- Jalyn Altemus, PA-CPhysician Assistant1649825845
- Matthew Axtman, DOPhysical Medicine & Rehabilitation Physician1255478988
- Alexandra Barnwell, PAPhysician Assistant1801584412
- Catherine Bersuder, MS, ATCAthletic Trainer1154742526
- Yashkumar Anilkumar BhalalaFoot & Ankle Surgery Podiatrist1033802673
Verify Holly Gustafson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5601004148Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
87% fewer Medicare Part D claims than the average physician assistant in 2024
104 Medicare Part D claims for 92 beneficiaries, against an average of 832 among the 95,030 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 75 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen49 claims
- Oxycodone Hcl11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The Medicare quality score for 2023: 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $16.39
1 payment, mostly food and beverage; the largest payer was DePuy Synthes Sales Inc.. The 61,144 providers of this specialty with any payment received $853.85 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital or facility affiliation
- Spectrum Health Primary Care PartnersGrand Rapids, MI
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
898 physician assistant records list a Grand Rapids practice address
They are 898 of the 18,005 NPPES records with a Grand Rapids practice address, and 6,574 physician assistant records in Michigan.
All 898 in Grand Rapids → All 6,574 in Michigan → Every provider in Grand Rapids →
Other physician assistant records in Michigan
- Hauraa Aalabdulrasul, PADetroit, MI1467181982
- Kilee Aamodt, PA-CMuskegon, MI1578964300
- Rasha AbbasDetroit, MI1750239505
- Layan Abbasi, PA-CYpsilanti, MI1043045552
- Veronica Abbo, PA-CRoseville, MI1659889806
- Stephanie Abbott, PA-CGrand Rapids, MI1386072825
- Samar Abboud, PA-CYpsilanti, MI1871942144
- Salma Abd Elhamid, PA-CTroy, MI1457245730
- Marriam Abdallah, PA-CDearborn, MI1720962574
- Sarah Abdella, PA-CAnn Arbor, MI1457719171
Common questions
What is Holly Gustafson, PAC's NPI number?
Holly Gustafson, PAC's National Provider Identifier (NPI) is 1922096239, issued on Oct 11, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Holly Gustafson, PAC located?
The NPPES record lists a practice address at 2770 E Beltline Ave NE, Grand Rapids, MI, 49525. Phone: (616) 267-8860. Providers update this record themselves, so call before visiting.
How can I verify Holly Gustafson, PAC's license?
NPPES lists Michigan license number 5601004148, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
How much does Holly Gustafson, PAC prescribe under Medicare Part D?
In 2024, Holly Gustafson, PAC had 104 Medicare Part D claims for 92 beneficiaries; the average among physician assistant prescribers was 832. Part D covers Medicare prescriptions only.
What is Holly Gustafson, PAC's Medicare quality score?
The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.