DR. MANUEL FABIAN BUSTAMANTE M.D.
NPI 1568411809
Internal Medicine - Gastroenterology in Naples, FL

NPI Status: Active since May 05, 2006

Contact Information

3369 PINE RIDGE RD UNIT 203
NAPLES, FL
ZIP 34109
Phone: (239) 631-2662
Fax: (239) 631-8597

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 31
  • Internal Medicine
  • Gastroenterology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MANUEL BUSTAMANTE

Manuel Bustamante is an internist established in Naples, Florida and his medical specialization is Internal Medicine with a focus in gastroenterology with more than 31 years of experience. The healthcare provider is registered in the NPI registry with number 1568411809 assigned on May 2006. The practitioner's primary taxonomy code is 207RG0100X with license number ME83044 (FL). The provider is registered as an individual and his NPI record was last updated January 2024.

NPI
1568411809
Provider Name
DR. MANUEL FABIAN BUSTAMANTE M.D.
Gender
Male
Entity Type
Individual
Location Address
3369 PINE RIDGE RD UNIT 203 NAPLES, FL 34109
Location Phone
(239) 631-2662
Location Fax
(239) 631-8597
Mailing Address
2675 WINKLER AVE FL 2 FORT MYERS, FL 33901
Mailing Phone
(877) 856-3774
Medical School Name
OTHER
Graduation Year
1993
Is Sole Proprietor?
No
Enumeration Date
05-05-2006
Last Update Date
01-17-2024
Code Navigator

An internist like Manuel Bustamante is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Manuel Bustamante is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.38 for a new patient copayment and $27.09 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
ME83044
License State
FL
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Cigna Healthcare

    • Connect Bronze 0 Indiv Med Deductible - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 2500 Indiv Med Deductible - EPO
    • Connect Gold 500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 3000 Indiv Med Deductible - EPO
    • Connect Silver 4000 Indiv Med Deductible - EPO
    • Connect Silver 5000 Indiv Med Deductible - EPO
    • Connect Silver 9100 Indiv Med Deductible - EPO
    • Connect Silver CMS Standard - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) - EPO
  • Florida Blue HMO (a BlueCross BlueShield FL company)

    • BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
    • BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
    • BlueCare Bronze 24K02-17 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K02-18 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K02-23 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards $$$) - POS
    • BlueCare Gold 24K01-08 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
    • BlueCare Gold 24K01-10 ($0 Virtual Visits / $20 Labs / Rewards $$$) - POS
    • BlueCare Gold 24K01-33S ($30 PCP Visit / Multilingual Available/ Rewards $$$) - POS
    • BlueCare Gold 24K02-20 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
    • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available/ Rewards $$$) - POS
    • BlueCare Platinum 24K01-04 ($0 Virtual Visits / Rewards $$$) - POS
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
    • Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Manuel Bustamante is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1759357700

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040909001201

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 34109 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $141.52
  • Minimum New Patient Price $61.36
  • Maximum New Patient Price $187
  • Average New Patient Copayment $35.38
  • Minimum New Patient Copayment $15.34
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.36
  • Minimum Established Patient Price $18.68
  • Maximum Established Patient Price $151.65
  • Average Established Patient Copayment $27.09
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $37.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 413

    Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

  • 126

    Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)

  • 69

    Insertion of needle into vein for collection of blood sample (HCPCS:36415)

  • 47

    Tissue or cell analysis by immunologic technique (HCPCS:88342)

  • 45

    Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)

  • 39

    Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

  • 36

    Biopsy of large bowel using an endoscope (HCPCS:45380)

  • 34

    Blood test, comprehensive group of blood chemicals (HCPCS:80053)

  • 30

    Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

  • 18

    Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Manuel Bustamante is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NAPLES COMMUNITY HOSPITAL350 7TH ST N
NAPLES, FL 34102
(239) 624-4002Acute Care Hospitals
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE6101 PINE RIDGE ROAD
NAPLES, FL 34119
(239) 348-4000Acute Care Hospitals

Reviews for DR. MANUEL FABIAN BUSTAMANTE M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568411809
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512881280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 1 + 2 + 8 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1568411809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922750199MR. BLEDAR GJINOLLARI PAC
Individual
Physician Assistant3369 PINE RIDGE RD UNIT 203
NAPLES, FL 34109
(239) 631-2662
1861164519MILLENNIUM PHYSICIAN GROUP LLC
Organization
Family Medicine3369 PINE RIDGE RD UNIT 203
NAPLES, FL 34109
(239) 631-2662

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568411809, enumerated in the NPI registry as an "individual" on May 05, 2006

The provider is located at 3369 Pine Ridge Rd Unit 203 Naples, Fl 34109 and the phone number is (239) 631-2662

The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider has more than 31 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $141.52 with an average copayment of $35.38 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope, Insertion of needle into vein for collection of blood sample, Tissue or cell analysis by immunologic technique, Removal of polyps or growths of large bowel using an endoscope, Complete blood cell count (red cells, white blood cell, platelets), automated test, Biopsy of large bowel using an endoscope, Blood test, comprehensive group of blood chemicals, Diagnostic examination of large bowel using an endoscope and Colorectal cancer screening; colonoscopy on individual at high risk.

The practitioner is affiliated to the following hospital(s): NAPLES COMMUNITY HOSPITAL and PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.