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DR. EDWARD BUSTAMANTE O.D.,M.B.A
NPI 1427165497
Optometrist in San Antonio, TX

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.3/100
CMS Quality Rating
1314 E SONTERRA BLVD STE 103, SAN ANTONIO, TX 78258(210) 819-9007 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward Bustamante O.d.,m.b.a NPPES

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

DR. EDWARD BUSTAMANTE O.D.,M.B.A (NPI 1427165497) is an individual optometrist in San Antonio, Texas, licensed in Texas (06327TG) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2002).

NPPES Registry Identity

NPI1427165497
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. EDWARD BUSTAMANTECredential: O.D.,M.B.A
Location Address1314 E SONTERRA BLVD STE 103San Antonio, TX 78258-4279
Mailing Address10004 Wurzbach Rd, 352San Antonio, TX 78230-2214 · (210) 819-9007
Phone(210) 819-9007
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2002
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1427165497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 06327TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1314 E SONTERRA BLVD STE 103, San Antonio, TX 78258
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Edward Bustamante O.d.,m.b.a 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 ID3577597822
PECOS Enrollment IDI20050926000621
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 9

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
1,059 services368 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
548 services271 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.
257 services196 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.
201 services199 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
134 services59 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.
56 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

97.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost91

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD BUSTAMANTE
Optometrist
1314 E SONTERRA BLVD STE 103
SAN ANTONIO, TX 78258
Bexar County (210) 563-9694
SAN ANTONIO PODIATRY ASSOCIATES PLLC
Clinic/Center (Podiatric)
1314 E SONTERRA BLVD STE 103
SAN ANTONIO, TX 78258
Bexar County (210) 899-1026

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 Edward Bustamante's NPI number?

The NPI number for Edward Bustamante is 1427165497. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Edward Bustamante located?

Edward Bustamante practices at 1314 E Sonterra Blvd Ste 103, San Antonio, TX 78258. The listed phone number is (210) 819-9007.

What is Edward Bustamante's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Edward Bustamante enrolled in Medicare?

Yes. Edward 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 Edward Bustamante accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Edward 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.

When was this NPI record last updated?

The NPPES record for Edward Bustamante was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.