ZACHARY DAVID BUSTAMANTE MD
NPI 1750076477
Surgery in Grand Rapids, MI

Q: What is Zachary Bustamante's NPI number?

The NPI number for Zachary Bustamante is 1750076477. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Q: What is Zachary Bustamante's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 07, 2023PECOS Enrolled

100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Zachary David Bustamante Md NPPES

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

ZACHARY DAVID BUSTAMANTE MD (NPI 1750076477) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4351051301APP23) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750076477

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameZACHARY DAVID BUSTAMANTECredential: MD

Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560

Mailing Address100 Michigan St Ne Ste A601Grand Rapids, MI 49503-2560 · (616) 391-6243

Phone(616) 391-6243

Sole ProprietorNo

Enumeration DateApril 7, 2023

Last NPPES UpdateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1750076477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4351051301APP23

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary David Bustamante Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 20

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

ERIN LOUISE MUELLER MD

Surgery