PAUL MICHAEL DE BUSTROS
NPI 1487230876
Ophthalmology - Retina Specialist in Orland Park, IL

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
11516 183RD PL STE SE, ORLAND PARK, IL 60467(708) 915-6807 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, May 24, 2022, Jun 5, 2021 and 1 more (4 updates tracked since 2021).

About Paul Michael De Bustros NPPES

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

PAUL MICHAEL DE BUSTROS (NPI 1487230876) is an individual retina specialist in Orland Park, Illinois, licensed in Illinois (036.169593) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1487230876
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NamePAUL MICHAEL DE BUSTROS
Location Address11516 183RD PL STE SEOrland Park, IL 60467-9456
Mailing Address450 E Waterside Dr Unit 2808Chicago, IL 60601-4730 · (708) 567-8890
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1487230876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in IL · 036.169593
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 036.169593 (IL)
11516 183RD PL STE SE, Orland Park, IL 60467

Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (888) 584-7888

Accepted 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

Paul Michael De Bustros 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 ID2365826997
PECOS Enrollment IDI20250512000508, I20250514002290
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.

Hospital Affiliations CMS Care Compare 3

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60467 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 Paul De Bustros's NPI number?

The NPI number for Paul De Bustros is 1487230876. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Paul De Bustros located?

Paul De Bustros practices at 11516 183rd Pl Ste SE, Orland Park, IL 60467. The listed phone number is (708) 915-6807.

What is Paul De Bustros's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Paul De Bustros enrolled in Medicare?

Yes. Paul De Bustros 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 Paul De Bustros accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paul De Bustros 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 Paul De Bustros affiliated with any hospitals?

According to CMS data, Paul De Bustros is affiliated with Rush University Medical Center, Ingalls Memorial Hospital and Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Paul De Bustros was last updated on June 30, 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.