JORGE BUSTILLO (M.D.) – Orthopaedic Surgery Physician, NPI 1679537435

JORGE BUSTILLO (M.D.) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. D0078545 (MD). The NPI Number for JORGE BUSTILLO (M.D.) is 1679537435

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JORGE BUSTILLO (M.D.)
NPI
1679537435
Phone
(717) 652-9555
Address
820 Sir Thomas Ct
Enumeration Date
17 April 2006
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
7214910058
Group Practice PAC ID
3476464298
Professional Enrollment ID
I20141119000577
Address ID
PA160665238CR2000XDRXX301

Contacts

Secure Messaging
jbustillo241071@phsdirect.pinnaclehealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,621 ORTHOPEDIC SURGERY in PA

Provider Addresses for JORGE BUSTILLO (M.D.)

  • 820 Sir Thomas Ct

    Harrisburg, PA 171094839

    Phone: (717) 652-9555

    Fax: (717) 791-2621

    Type: Location

  • Bernville Road, Reading, Berks County, Pennsylvania, 19601, United States

    READING, PA 196059453

    Phone: (610) 378-2000

    Fax: (610) 378-2799

    Type: Mailing

  • Bernville Road, Bern Township, Berks County, Pennsylvania, 19601, United States

    SUITE 205

    READING, PA 196059469

    Phone: (610) 378-2996

    Fax: (610) 208-8812

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,089.

Total Amount is formed as General ($1,089) + Research ($0) + Ownership ($0) = $1,089.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Stryker Corporation ($1,015).

Total Amount

$1,089

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,089

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

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: 2004-06-11

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
I20040611000390IOrthopedic SurgeryPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7754$0
73610X-ray of ankle, minimum of 3 views5639$0
73630X-ray of foot, minimum of 3 views5640$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 17109)

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Provider's Procedures

JORGE BUSTILLO (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA73630X-ray of foot, minimum of 3 views167121

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: 3476464298View full group profile
NameSpecialtyState
N E U R O L O G YPA
Family PracticePA
Emergency MedicinePA
Family PracticePA
Family PracticePA
Orthopedic SurgeryPA
Physician AssistantPA
Internal MedicineMA
Physician AssistantPA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

What is the registry number for JORGE BUSTILLO (M.D.)?
The registry entry for JORGE BUSTILLO (M.D.) shows NPI 1679537435.
Is JORGE BUSTILLO (M.D.)'s NPI status active today?
Active status means JORGE BUSTILLO (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret JORGE BUSTILLO (M.D.)'s specialty?
The extract shows Orthopaedic Surgery Physician for JORGE BUSTILLO (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JORGE BUSTILLO (M.D.)?
JORGE BUSTILLO (M.D.) is associated with Harrisburg, Pennsylvania 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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