Freyli J. Bustamante Gonzalez, MD
NPI 1619474848ActiveIndividual· Radiology, Diagnostic Radiology· Augusta, GA
Radiology, Diagnostic Radiology (MD) with Wellstar Medical Group LLC, practicing in Augusta, Georgia. Medicare paid $1,449 for services to 25 patients in 2024. Lists Wellstar McG Health, Affiliated With Med Col as a hospital affiliation.
Overview
| NPI | 1619474848 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 13, 2018 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 009840 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 36 across 14 procedure codes |
| Paid by Medicare | $1,449 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Wellstar Medical Group LLCMarietta, GA · 3,093 clinicians
Hospital affiliation
- Wellstar McG Health, Affiliated With Med ColAugusta, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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