Eduardo Alejandro Bustamante Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

83664-20 Issued in WI

Practice address

PO Box 1520
Woodruff, WI 54568-1520

Phone

(715) 356-2262

Fax

(715) 356-2257

NPI assigned

Jan 23, 2015

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redman and Gelinas SCGroup PAC ID 1153227749, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091
• Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.03 of 100Reported as group

Quality

78.29

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebustamante@redmangelinaseyecare.intellechartdirect.net
• Direct secure messaging: eduardo.bustamante.p1@direct.genstlereyecenter.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redman & Gelinas SC

  • Ophthalmology Physician
  • Woodruff, WI
  • NPI 1780786145

  Optometrist

  Medicare reassignment Care Compare group NPD
• Redman & Gelinas SC

  dba Eye Wear Associates

  • Eyewear Supplier
  • Woodruff, WI
  • NPI 1821168253

  Optometrist

  NPD Authorized official
• Redman & Gelinas SC

  dba Eye Wear Associates

  • Eyewear Supplier
  • Eagle River, WI
  • NPI 1053481473

  Optometrist

  NPD (past) Authorized official
• Redman & Gelinas SC

  dba Eye Wear Associates

  • Eyewear Supplier
  • Park Falls, WI
  • NPI 1487724803
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Howard Young Medical Center Inc of Woodruff Wisconsin

  • Land Ambulance
  • Woodruff, WI
  • NPI 1780612317

  Hospital

  Care Compare affiliation
• MCHS Hospitals Inc

  dba Marshfield Medical Center - Minocqua

  • Rural Acute Care Hospital
  • Minocqua, WI
  • NPI 1376197665
  Care Compare affiliation
• The Howard Young Medical Center, Inc.

  dba Howard Young Medical Center

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1134183171
  Care Compare affiliation
• The Howard Young Medical Center, Inc.

  dba Howard Young Medical Center

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1184673352
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1154711513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1520",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545681520",
            "telephone_number": "715-356-2262",
            "fax_number": "715-356-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1520",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545681520",
            "telephone_number": "715-356-2262",
            "fax_number": "715-356-2257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349505382",
            "country_code": "US",
            "telephone_number": "772-461-2020",
            "fax_number": "772-461-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "EDUARDO",
        "middle_name": "ALEJANDRO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME144452",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "83664-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Joy G Borton, PT
• Buffington Optometry LLC
• Kathleen Erin Buffington, O.D.
• Mary C Burg, CADCIII
• Frank Burkett, MD
• Christine Liesen John J Pinzl DDS SC
• Benjamin Collins, RPH
• Comprehensive Foot & Ankle, SC
• Keith Leotis Cosby Sr.
• Niki Nicole Cosby

• Ophthalmology Physician in Woodruff, WI
• Providers in Woodruff, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.