NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1538350707 MD
Verify on CMS → Monica Gustafson, MD
Surgery Physician in Tucson, Arizona.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,778 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
183
Medicare Part D claims · 73 beneficiaries · Surgery Physician avg: 174
MIPS score
99.6/100
▲ 16 pts above national avg 83.5 · Exceptional
Industry payments
$108.98
6 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Monica Gustafson, MD reported a CMS MIPS final score of 99.6/100 - above the 83.5 national average - and filed 183 Medicare Part D claims in 2024.
- 99.6/100
- MIPS score · +16 vs avg
- 183
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥91st
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Monica Gustafson, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538350707), first enumerated 08/05/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 183 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 99.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$108.98 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1538350707 · Surgery Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1538350707
- ENUM-MID 2007
- TAX-MID 37K Surgery Physician
- MIPS-ELITE 99.6/100
- RX-LIGHT 183
- BOOK-LIGHT 823 in Arizona
- PHOTO-FINISH Marjorie Fridkin · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Armaghan Mostafa…
Armaghan Mostafavi
99.5 MIPS pts
- Gustafson · this…
Gustafson · this provider
99.6 MIPS pts
- Marjorie Fridkin…
Marjorie Fridkin
99.6 MIPS pts
- Edgar Galinanes …
Edgar Galinanes
99.6 MIPS pts
- Jeffrey Stephens…
Jeffrey Stephens
99.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Monica Gustafson, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Monica Gustafson, MD sits
This provider among surgery physician peers
Across the 7,271 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Monica Gustafson, MD writes more Part D claims than 75% of them and scores higher on MIPS quality than 92% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Monica Gustafson, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Monica Gustafson, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Monica Gustafson, MD?
High performer (top quartile)Primary specialty
Surgery Physician
Medicare Part D claims
183 5% vs specialty avg
MIPS final score
99.6/100 16.1 pts vs avg
Specialty distribution in Arizona
How Surgery Physician compares to other specialties among Arizona providers
Medicare quality performance, MIPS
Monica Gustafson, MD's 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 99.6/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1538350707 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 08/05/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.5998
Final Score
Measured-score avg: 83.5
92.3817
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Monica Gustafson, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Agave Surgical Associates PC
Tucson, AZ
Tmc Medical Network
Tucson, AZ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Monica Gustafson, MD. Source: openpaymentsdata.cms.gov.
Total received
$109
Largest payer
Medtronic, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
183
Total Claims
$2K
Total Drug Cost
73
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 213.4
- Total Day Supply
- 3,059
- Generic Drug Cost
- $2K
- Opioid Claims
- 59 (32.2% rate)
- Antibiotic Claims
- 24
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.49
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Monica Gustafson, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
29 claims
- Methocarbamol
Methocarbamol
15 claims
- Tramadol Hcl
Tramadol Hcl
15 claims
- Ondansetron Odt 11
Ondansetron Odt
11 claims
- Pantoprazole Sodium 11
Pantoprazole Sodium
11 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 29 |
| Methocarbamol | 15 |
| Tramadol Hcl | 15 |
| Ondansetron Odt Ondansetron | 11 |
| Pantoprazole Sodium | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Monica Gustafson, MD fits within the Surgery Physician landscape nationally.
36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider
Monica Gustafson, MD's 183 claims are above the specialty average of 174.
Nationwide Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gustafson, both outside Arizona so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (99.6 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgery Physician Providers in Arizona
Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Gustafson.
One of 823 Surgery Physician providers enrolled in Arizona, 5 are shown here.
Mazin Abdalgadir
Tucson, AZ
Mannal Abdalla
FNP, RN, CSA
Phoenix, AZ
Dr. Joseph Abdo
M.D.
Globe, AZ
Dr. Mohamad Abdulhai
M.D.
Gilbert, AZ
Dr. Moaz Abulfaraj
MD
Fort Defiance, AZ
Compare Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Monica Gustafson, MD's specialty? ▼
Monica Gustafson, MD specializes in Surgery Physician and practices in Tucson, Arizona. Credentials: MD.
How much does Monica Gustafson, MD prescribe under Medicare Part D? ▼
In 2024, Monica Gustafson, MD wrote 183 Medicare Part D claims totaling $2K in drug costs for 73 beneficiaries.
What is Monica Gustafson, MD's Medicare quality score? ▼
Monica Gustafson, MD has a CMS MIPS Final Score of 99.6/100 (Quality: 92.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Monica Gustafson, MD located? ▼
Monica Gustafson, MD is located at 1501 N CAMPBELL AVE, Tucson, AZ, 85724. Phone: (520) 626-7747.
What is Monica Gustafson, MD's NPI number? ▼
Monica Gustafson, MD's National Provider Identifier (NPI) is 1538350707, issued on 08/05/2007.
Does Monica Gustafson, MD prescribe opioids? ▼
Yes, Monica Gustafson, MD had 59 opioid claims in 2024 with an opioid prescribing rate of 32.2%.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
What drugs does Monica Gustafson, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Monica Gustafson, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Methocarbamol, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Monica Gustafson, MD accept Medicare? ▼
Monica Gustafson, MD appears in CMS Medicare data with 183 Part D claims and 73 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Monica Gustafson, MD's credentials? ▼
Monica Gustafson, MD's NPI is 1538350707 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
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 August 2026.