EDUARDO ALEJANDRO BUSTAMANTE JR. MD
NPI 1154711513
Ophthalmology in Woodruff, WI

Q: What is Eduardo Bustamante's NPI number?

The NPI number for Eduardo Bustamante is 1154711513. It was assigned to this individual provider in the NPPES registry on January 23, 2015.

Q: What is Eduardo Bustamante's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since January 23, 2015PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

PO BOX 1520, WOODRUFF, WI 54568(715) 356-2262(715) 356-2257 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Jul 16, 2021, Aug 17, 2020 and 3 more (6 updates tracked since 2016).

On this page

About Eduardo Alejandro Bustamante Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUARDO ALEJANDRO BUSTAMANTE JR. MD (NPI 1154711513) is an individual ophthalmology provider in Woodruff, Wisconsin, licensed in Wisconsin (83664-20) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Howard Young Medical Center, and maintains a secondary practice location in Fort Pierce.

NPPES Registry Identity

NPI1154711513

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameEDUARDO ALEJANDRO BUSTAMANTE JR.Credential: MD

Location AddressPO BOX 1520Woodruff, WI 54568-1520

Mailing AddressPo Box 1520Woodruff, WI 54568-1520 · (715) 356-2262 · Fax (715) 356-2257

Phone(715) 356-2262

Fax(715) 356-2257

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2016

Enumeration DateJanuary 23, 2015

Last NPPES UpdateJune 21, 20246 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1154711513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in WI · 83664-20✔ Licensed in FL · ME144452

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

PO BOX 1520, Woodruff, WI 54568

Open in Google Maps ↗

Secondary Practice Location 1

Location 12201 S 10th StFort Pierce, FL 34950-5382 · Phone (772) 461-2020 · Fax (772) 461-1081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, HealthPartners, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eduardo Alejandro Bustamante Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183910664

PECOS Enrollment IDI20240610001807

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

194 services183 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

188 services126 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services160 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

153 services87 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

106 services100 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

103 services103 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

99 services99 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

82 services82 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

54 services39 patients

Removal of recurring cataract in lens capsule using a laser 66821

47 services31 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

43 services43 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

32 services21 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

23 services23 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520091

Location240 Maple StWoodruff, WI 54568 · Vilas County

Emergency services

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520212

Location9576 Highway 70Minocqua, WI 54548 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

30.99

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

89%107 patients5/55-star benchmark: 87%

Diabetes: Eye Exam

100%189 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%1,342 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,115 patients

Patients screened: 100% · 1,115 patients

98%66 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%235 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,375 patients

Patients totalRate: 0% · 1,375 patients

0%1,375 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduardo Bustamante's NPI number?

The NPI number for Eduardo Bustamante is 1154711513. It was assigned to this individual provider in the NPPES registry on January 23, 2015.

Where is Eduardo Bustamante located?

Eduardo Bustamante practices at PO Box 1520, Woodruff, WI 54568. The listed phone number is (715) 356-2262.

What is Eduardo Bustamante's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eduardo Bustamante enrolled in Medicare?

Yes. Eduardo Bustamante is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eduardo Bustamante accept?

Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list Eduardo Bustamante as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eduardo Bustamante affiliated with any hospitals?

According to CMS data, Eduardo Bustamante is affiliated with Howard Young Medical Center and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Eduardo Bustamante was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.