MARIA BUSTAMANTE (PA-C) – Geriatric Medicine (Internal Medicine) Physician, NPI 1609536507
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,304 PHYSICIAN ASSISTANT in FL
Provider Addresses for MARIA BUSTAMANTE (PA-C)
5860 RANCH LAKE BLVD STE 200
BRADENTON, FL 342023719
Phone: (813) 202-3888
Fax: (941) 236-5640
Type: Mailing
3532 FRUITVILLE RD
SARASOTA, FL 342379026
Phone: (941) 893-2688
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $446.
Total Amount is formed as General ($446) + Research ($0) + Ownership ($0) = $446.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($90).
Total Amount
$446
General + Research + Ownership
Payments
23
Total payment records
General Amount
$446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
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: 2023-11-21
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20231121000200 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| N E U R O L O G Y | FL | |
| Neurology, Internal Medicine | FL | |
| Nurse Practitioner | FL |
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