NPIMap

Individual provider Active NPI

Jorge Bustillo, M.D.

  • Orthopaedic Surgery Physician
  • Reading, PA
National Provider Identifier
1679537435
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD421803 Issued in PA
Practice address
2494 Bernville Road
Suite 205
Reading, PA 19605-9469
Phone
(610) 378-2996
Fax
(610) 208-8812
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0078545 MD
Orthopaedic Surgery Physician 207X00000X MD421803 PA Primary

Addresses

Primary practice location

2494 Bernville Road
Suite 205
Reading, PA 19605-9469

Mailing address

2500 Bernville Road
Reading, PA 19605-9453
Phone (610) 378-2000

Other practice location 1

820 Sir Thomas Ct
Harrisburg, PA 17109-4839
Phone (717) 652-9555

Other identifiers 3

IdentifierTypeStateIssuer
580344OtherPAMEDICARE
0019586400010MedicaidPA
745419800MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbustillo241071@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000390 PA Practitioner - Orthopedic Surgery 7214910058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Meharry Medical College School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1160 Manheim Pike
Suite 200
Lancaster, PA 17601-3127
Phone (717) 735-1972

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

820 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone (717) 652-9555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0078545MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jan 20, 2020 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 20, 2020 Accepting new patients
Pinnacle Health Regional Physicians Orthopaedic Surgery CurrentSince Jul 17, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 17, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 22, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 22, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
St. Joseph Medical Group Orthopaedic Surgery Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870

121 Towne Square Dr
Ste 301
Hershey, PA 17033
Phone (717) 988-8148

121 Towne Square Dr
Ste 101
Hershey, PA 17033
Phone (717) 988-8300

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2221 Noll Dr
Ste 2000
Lancaster, PA 17603
Phone (717) 715-1001

1160 Manheim Pike
Ste 200
Lancaster, PA 17601
Phone (717) 231-8978

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

6 W Newport Rd
Lititz, PA 17543
Phone (717) 581-5255

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • Direct secure messaging: jbustillo50554@direct-guthrie.org
  • Direct secure messaging: jbustillo283236@upmc.direct-ci.com

Organizations & group practices 11

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

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1679537435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE ROAD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2000",
            "fax_number": "610-378-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE ROAD",
            "address_2": "SUITE 205",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059469",
            "telephone_number": "610-378-2996",
            "fax_number": "610-208-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Sir Thomas Ct",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094839",
            "country_code": "US",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTILLO",
        "first_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0078545",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD421803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "580344",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019586400010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745419800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbustillo241071@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 Sir Thomas Ct",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171094839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.