EDUARDO ALEJANDRO JR. BUSTAMANTE (MD) – Ophthalmology Physician, NPI 1154711513
Ophthalmology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,548 OPHTHALMOLOGY in FL
Provider Addresses for EDUARDO ALEJANDRO JR. BUSTAMANTE (MD)
2201 S 10th St
Fort Pierce, FL 349505382
Phone: (772) 461-2020
Fax: (772) 461-1081
Type: Location
15604 MORNING DR
LUTZ, FL 335593226
Phone: (727) 295-5791
Type: Mailing
1070 GREENWOOD BLVD
LAKE MARY, FL 327465404
Phone: (407) 333-5111
Type: Location
2201 S 10TH ST
FORT PIERCE, FL 349505382
Phone: (772) 461-2020
Fax: (772) 461-1081
Type: Mailing
PO BOX 1520
WOODRUFF, WI 545681520
Phone: (715) 356-2262
Fax: (715) 356-2257
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $231.
Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($140).
Total Amount
$231
General + Research + Ownership
Payments
7
Total payment records
General Amount
$231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $140 |
| Astellas Pharma US Inc | $47 |
| Johnson & Johnson Surgical Vision, Inc. | $30 |
| Sight Sciences, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240610001807 | I | Ophthalmology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 610 | 596 | $0 |
| 92012 | Established patient problem focused exam of visual system | 396 | 348 | $0 |
| 83861 | Microfluid analysis of tears | 369 | 172 | $0 |
| 92134 | Imaging of retina | 354 | 347 | $0 |
| 92133 | Imaging of optic nerve | 177 | 173 | $0 |
Insurance plans in this area (ZIP 34950)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WI | |
| O P H T H A L M O L O G Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI |
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