SERGE N DEBUSTROS (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1962402685

SERGE N DEBUSTROS (MD) is a healthcare provider. based in Orland park, Illinois. specializing in Retina Specialist (Ophthalmology) Physician. They hold the professional credentials MD. They hold a License No. 036081438 (IL). The NPI Number for SERGE N DEBUSTROS (MD) is 1962402685

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
SERGE N DEBUSTROS (MD)
NPI
1962402685
Phone
(708) 877-1300
Address
11516 183RD PL STE SW
Enumeration Date
22 July 2005
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086479211
Graduation Year
1980 (46 years ago)
PAC ID
5799698817
Group Practice PAC ID
6709799810
Professional Enrollment ID
I20101208000245

Contacts

Secure Messaging
sdebustros@illret.intellechartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

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Provider Addresses for SERGE N DEBUSTROS (MD)

  • 11516 183RD PL STE SW

    ORLAND PARK, IL 604679471

    Phone: (708) 877-1300

    Fax: (708) 596-8719

    Type: Mailing

  • 71, West 156th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States

    SUITE 400

    HARVEY, IL 604264265

    Phone: (708) 596-8710

    Fax: (708) 596-9820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $20,025.

Total Amount is formed as General ($20,025) + Research ($0) + Ownership ($0) = $20,025.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: US Retina LLC ($19,956).

Total Amount

$20,025

General + Research + Ownership

Payments

3

Total payment records

General Amount

$20,025

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 60467)

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Provider's Procedures

SERGE N DEBUSTROS (MD) performs procedures in Retina Specialist (Ophthalmology) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92012Eye and medical examination for diagnosis and treatment, established patient4949
OPHTHALMOLOGYIL92134Diagnostic imaging of retina1061471

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709799810View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
-IL

Reviews

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Frequently asked questions

What number should I use to identify SERGE N DEBUSTROS (MD) for billing?
Administrative and clinical systems typically use NPI 1962402685 for SERGE N DEBUSTROS (MD).
Quick check: is SERGE N DEBUSTROS (MD) active?
Public NPPES data shows SERGE N DEBUSTROS (MD) with an active NPI status right now.
Which specialty label fits SERGE N DEBUSTROS (MD)?
NPPES ties SERGE N DEBUSTROS (MD) to Retina Specialist (Ophthalmology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SERGE N DEBUSTROS (MD)?
SERGE N DEBUSTROS (MD) is associated with Orland Park, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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