RAFAEL MIGUEL BUSTAMANTE (M.D.) – Vascular Surgery Physician, NPI 1164743837
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
490 VASCULAR SURGERY in FL
Provider Addresses for RAFAEL MIGUEL BUSTAMANTE (M.D.)
1700 NW 49TH ST STE 125
FORT LAUDERDALE, FL 333093750
Phone: (954) 320-3380
Fax: (954) 320-3371
Type: Mailing
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 333162509
Phone: (954) 320-3380
Fax: (954) 320-3371
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $4,229.
Total Amount is formed as General ($4,229) + Research ($0) + Ownership ($0) = $4,229.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Penumbra, Inc. ($1,374).
Total Amount
$4,229
General + Research + Ownership
Payments
66
Total payment records
General Amount
$4,229
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $1,374 |
| W. L. Gore & Associates, Inc. | $1,094 |
| AngioDynamics, Inc. | $825 |
| Cook Medical LLC | $596 |
| Bard Peripheral Vascular, Inc. | $142 |
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: 2019-01-24
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 |
|---|---|---|---|---|
| I20190124002519 | I | Vascular Surgery | FL | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 83 | 79 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 67 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 33309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IA | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| General Surgery | FL | |
| Nurse Practitioner | FL | |
| Colorectal Surgery (Proctology), General Surgery | FL | |
| Nurse Practitioner | FL | |
| Surgical Oncology | FL |
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