DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.) – Surgery Physician, NPI 1023455508

DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 5532 (OK). The NPI Number for DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.) is 1023455508

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.)
NPI
1023455508
Phone
Not provided
Address
744 W 9TH ST
Enumeration Date
24 May 2013
Last Update Date
11 May 2022

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8668777123
Graduation Year
2013 (13 years ago)
PAC ID
0749580033
Group Practice PAC ID
3971820598
Professional Enrollment ID
I20220524003340
Address ID
FL323445536MO1780XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

354 GENERAL SURGERY in OK

Provider Addresses for DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.)

  • 744 W 9TH ST

    TULSA, OK 741279020

    Phone:

    Type: Mailing

  • 115 PONCE TERRACE CIR

    PONCE INLET, FL 321277015

    Phone: (918) 804-7579

    Type: Mailing

  • 600 PALMETTO ST FL 2

    NEW SMYRNA BEACH, FL 321687327

    Phone: (386) 428-8326

    Type: Location

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 $8,459.

Total Amount is formed as General ($8,459) + Research ($0) + Ownership ($0) = $8,459.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,327).

Total Amount

$8,459

General + Research + Ownership

Payments

23

Total payment records

General Amount

$8,459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220524003340IGeneral SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5832$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3118$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2322$0
99213Established patient office or other outpatient visit, 20-29 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 74127)

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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: 3971820598View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Internal Medicine, Peripheral Vascular DiseaseFL
Family PracticeFL
General PracticeFL
-FL
General PracticeMN
Family PracticeIL

Reviews

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Frequently asked questions

Is there an official ID for DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.) in U.S. healthcare records?
The official identifier for DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.) is NPI 1023455508.
Active or inactive — what applies to DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.)?
You should see DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.)?
DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.)?
Travel planning: use Tulsa, Oklahoma as the reference point for DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.), then confirm.
Can I trust this NPI listing for DR. WILLY ALBERTO BUSTINZA FARFAN (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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