DR. MANUEL FABIAN BUSTAMANTE (M.D.) – Gastroenterology Physician, NPI 1568411809
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for DR. MANUEL FABIAN BUSTAMANTE (M.D.)
14911 TYBEE ISLAND DR
NAPLES, FL 341194830
Phone: (239) 298-1285
Fax: (239) 593-6202
Type: Mailing
1656 MEDICAL BLVD
NAPLES, FL 341101423
Phone: (239) 593-6201
Fax: (239) 593-6202
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
3369 PINE RIDGE RD UNIT 203
NAPLES, FL 341093932
Phone: (239) 631-2662
Fax: (239) 631-8597
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $2,639.
Total Amount is formed as General ($2,639) + Research ($0) + Ownership ($0) = $2,639.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($806).
Total Amount
$2,639
General + Research + Ownership
Payments
130
Total payment records
General Amount
$2,639
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-09-09
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 |
|---|---|---|---|---|
| I20040909001201 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 710 | 395 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 201 | 193 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 179 | 179 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 101 | 101 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 100 | 96 | $0 |
Insurance plans in this area (ZIP 34119)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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