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MARK W FAUSTICH MD
NPI 1083608848
Obstetrics & Gynecology in Appleton, WI

Active since September 08, 2005PECOS Enrolled
1531 S MADISON ST, APPLETON, WI 54915(920) 730-4413 Get Directions Write a Review

NPPES record last updated: August 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark W Faustich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK W FAUSTICH MD (NPI 1083608848) is an individual obstetrics & gynecology provider in Appleton, Wisconsin, licensed in Wisconsin (27201) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083608848
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK W FAUSTICHCredential: MD
Location Address1531 S MADISON STAppleton, WI 54915-1800
Mailing Address1531 S Madison StAppleton, WI 54915-1800 · (920) 730-4413
Phone(920) 730-4413
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateAugust 30, 2008
✔ NPI 1083608848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 27201
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1531 S MADISON ST, Appleton, WI 54915
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Other Identifiers 4

Medicaid30732500WI
Medicare PIN001745300WI
Medicare UPINB52719
Medicare PIN015071018WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W Faustich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%111 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
94%353 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
78%130 patients4/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,170 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%27 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%606 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
50%375 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 322 patients
95%322 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
79%606 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%606 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%606 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID L SOVINE MD
Psychiatry & Neurology (Psychiatry)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
BERNARD L GREEN PH D
Psychologist
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
DANIEL E NATALI PHD
Psychologist
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
MARTIN J HAANSTAD PHD
Psychologist
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
RAYMOND P FUCHS PHD
Psychologist
1531 S MADISON ST, STE 580
APPLETON, WI 54915
Calumet County (920) 730-4411
JOHN M OESTREICHER PHD
Psychologist
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
DANIEL J NEUNABER PH D
Psychologist
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
CATHY A REEB-ALBA MD
Obstetrics & Gynecology
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4413

Frequently Asked Questions

What is Mark Faustich's NPI number?

The NPI number assigned to this healthcare provider is 1083608848, enumerated as an "individual" on September 08, 2005.

Where is the provider located?

The provider is located at 1531 S MADISON ST APPLETON, WI 54915 and the phone number is (920) 730-4413.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Mark Faustich accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.