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Active NPI 1194202945 Individual Practitioner Male Practitioner

Dr. Mark Bustillo , DO

Emergency Medicine • Toledo, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bustillo, DO is a registered healthcare professional specializing in Emergency Medicine in Toledo, OH. Practice services are available at 2142 N COVE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2142 N Cove Blvd

Toledo, OH 43606

Telephone 4192914000
Associated Practice Facility / Clinic
🏢 The Toledo Hospital Facility NPI 1407854771

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Toledo, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
211 Specialists

Practicing in Toledo, OH (3084 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
177 174 $1191.00 $168.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
133 125 $49.00 $7.68
99284 Emergency department visit with moderate level of medical decision making
61 60 $771.00 $116.04
99283 Emergency department visit with low level of medical decision making
37 36 $516.00 $67.50
99291 Critical care, first 30-74 minutes
16 15 $1240.00 $202.26

Medical Specialties & State Licenses

CMS Verified: 2020-11-17
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 34.014542

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Practice Locations

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9373958166

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003025016

Doctor of Medicine (M.D.)

Dr. Nicholas Scott , MD

Emergency Medicine

NPI 1003310384

Doctor of Medicine (M.D.)

David Hayden

Pharmacy Technician

NPI 1003732868
Anthony Ignatovich , PA

Physician Assistant - Medical

NPI 1013914134

Physician Assistant

NPI 1033146030

Doctor of Medicine (M.D.)

Khalid Miri , OMS IV

Emergency Medicine

NPI 1033573696

OMSIV

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address November 06, 2020

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374388910)

👤
Provider Name / Credentials Updated November 06, 2020

Recorded as MARK BUSTILLO, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2020

Emergency Medicine (License #34.014542 in OH)

NPI Profile Active July 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2018

Registered at 2142 N COVE BLVD, TOLEDO, OH 43606 (Tel: 4192914000)

📍
Updated Business Mailing Address July 24, 2018

Registered at 2142 N COVE BLVD, TOLEDO, OH 436063895

👤
Provider Name / Credentials Updated July 24, 2018

Recorded as MARK BUSTILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194202945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2018
Last Update: November 17, 2020
Sole Proprietor: No

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374388910

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.