SERGE N DEBUSTROS MD NPI 1962402685

Ophthalmology (Retina Specialist) in Harvey, IL

NPI 1962402685 Individual Male Years of Experience 42 Ophthalmology Retina Specialist PECOS Enrolled Accepts Medicare Approved Payment

About SERGE DEBUSTROS

Serge Debustros is a provider established in Harvey, Illinois and his medical specialization is ophthalmology (retina specialist) with more than 42 years of experience. The NPI number of Serge Debustros is 1962402685 and was assigned on July 2005. The practitioner's primary taxonomy code is 207WX0107X with license number 036081438 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.

Serge Debustros is enrolled in PECOS and is eligible to order or refer healthcare 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

Serge Debustros is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1962402685

Provider Name SERGE N DEBUSTROS MD
Provider Location Address71 W 156TH ST SUITE 400 HARVEY, IL 60426
Provider Mailing Address71 W 156TH ST SUITE 400 HARVEY, IL 60426
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1980
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-22-2005
Last Update Date03-04-2021


Primary Taxonomy

Taxonomy Code207WX0107X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
SpecializationRetina Specialist
License No.036081438
License StateIL
Taxonomy DescriptionAn ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Business Address

SERGE N DEBUSTROS MD
71 W 156TH ST
SUITE 400
HARVEY, IL
ZIP 60426
Phone: (708) 596-8710
Fax: (708) 596-9820

Get Directions


Mailing Address

SERGE N DEBUSTROS MD
71 W 156TH ST
SUITE 400
HARVEY, IL
ZIP 60426
Phone: (708) 596-8710
Fax: (708) 596-9820



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5799698817
PECOS Enrollment IDI20101208000245, I20110209001045
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 921Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 862Photography of the retina (HCPCS:92250)
  • 217Diagnostic imaging of retina (HCPCS:92134)
  • 60Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 41Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmology036081438ILNo

Taxonomy Description: 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.

2207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist01038973AINNo

Taxonomy Description: an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
180012658OTHER (01)IN
036081438MEDICAID (05)IL
180015436OTHER (01)IL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962401240DR. HARKAMAL K. REHAL M.D.
Individual
Internal Medicine (Infectious Disease)71 W 156TH ST SUITE 305
HARVEY, IL 60426
(708) 333-3113
1588663876DR. RENE E SANTOS M.D.
Individual
Internal Medicine (Infectious Disease)71 W 156TH ST SUITE 305
HARVEY, IL 60426
(708) 333-3113
1558361279 DAVID R CHOW MD
Individual
Ophthalmology71 W 156TH ST STE 400
HARVEY, IL 60426
(708) 596-8710
1215937636DR. EYAS O OTHMAN M.D.
Individual
Otolaryngology71 W 156TH ST SUITE 107
HARVEY, IL 60426
(708) 333-0730
1942294251 PRAMOD K ANAND MD
Individual
Internal Medicine71 W 156TH ST SUITE 212
HARVEY, IL 60426
(708) 339-8044
1033195771 ANGEL CASTANER MD
Individual
Internal Medicine (Interventional Cardiology)71 W 156TH ST STE 305
HARVEY, IL 60426
(708) 331-2200
1700864550 FRANCIS Q ALMEDA MD
Individual
Internal Medicine (Cardiovascular Disease)71 W 156TH ST
HARVEY, IL 60426
(708) 331-2200
1437137478 PONNAMBALAM S SUNDRAM MD
Individual
Internal Medicine (Cardiovascular Disease)71 W 156TH ST STE 305
HARVEY, IL 60426
(708) 331-2200
1326013392 MARTIN G LUKEN III MD
Individual
Neurological Surgery71 W 156TH ST SUITE 205
HARVEY, IL 60426
(708) 596-3344
1891748513 THERESA WATKINS PT
Individual
Physical Therapy Assistant71 W 156TH ST SUITE 208
HARVEY, IL 60426
(708) 331-6669
1669419305 AL J FRAISER CST CFA
Individual
71 W 156TH ST STE 208
HARVEY, IL 60426
(708) 331-6669
1447291547MONROE MEDICAL ASSOCIATES, SC
Organization
Internal Medicine (Hematology & Oncology)71 W 156TH ST SUITE 401
HARVEY, IL 60426
(708) 339-4800
1871505503 CHARLES A BECK JR. MD
Individual
Specialist71 W 156TH ST STE 210
HARVEY, IL 60426
(708) 596-2034
1215045877COMPREHENSIVE PAIN CARE SC
Organization
Pain Medicine (Interventional Pain Medicine)71 W 156TH ST SUITE 205
HARVEY, IL 60426
(708) 596-3344
1023194644FIELD SURGICAL ASSOCIATES LTD.
Organization
Surgery71 W 156TH ST SUITE 309
HARVEY, IL 60426
(708) 331-1122
1336204031DR. ANDY C LIN M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)71 W 156TH ST SUITE 305
HARVEY, IL 60426
(708) 331-2200
1518180181DANIEL J VANDENBERG MD SC
Organization
Internal Medicine71 W 156TH ST STE 311
HARVEY, IL 60426
(708) 339-6321
1669697868JERRY J ITKONEN, SC
Organization
Internal Medicine (Pulmonary Disease)71 W 156TH ST SUITE 203
HARVEY, IL 60426
(708) 331-0405
1548472632 LILYAN BLAND RPH
Individual
Pharmacist71 W 156TH ST SUITE 104
HARVEY, IL 60426
(708) 333-5388
1881877694CHARLES A BECK JR MD LTD
Organization
Specialist71 W 156TH ST STE 210
HARVEY, IL 60426
(708) 596-2034

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.