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C BYRON FAULKNER MD
NPI 1104826965
Ophthalmology in Springfield, MO

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1330 E KINGSLEY ST, SPRINGFIELD, MO 65804(417) 887-1965(417) 887-6499 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About C Byron Faulkner Md NPPES

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

C BYRON FAULKNER MD (NPI 1104826965) is an individual ophthalmology provider in Springfield, Missouri, licensed in Missouri (104165) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1989).

NPPES Registry Identity

NPI1104826965
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameC BYRON FAULKNERCredential: MD
Location Address1330 E KINGSLEY STSpringfield, MO 65804-7216
Mailing Address1330 E Kingsley StSpringfield, MO 65804-7216 · (417) 887-1965 · Fax (417) 887-6499
Phone(417) 887-1965
Fax(417) 887-6499
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1989
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1104826965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MO · 104165
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1330 E KINGSLEY ST, Springfield, MO 65804
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Other Identifiers 1

Medicaid206699209MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

C Byron Faulkner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820124183
PECOS Enrollment IDI20110401000655
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
449 services443 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
212 services210 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services116 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
107 services83 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
94 services81 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
58 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

EYE SURGEONS OF SPRINGFIELD, INC.
Ophthalmology
1330 E KINGSLEY ST
SPRINGFIELD, MO 65804
Greene County (417) 887-1965
JUDD L MCNAUGHTON MD
Ophthalmology
1330 E KINGSLEY ST
SPRINGFIELD, MO 65804
Greene County (417) 887-1965

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C Faulkner's NPI number?

The NPI number for C Faulkner is 1104826965. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is C Faulkner located?

C Faulkner practices at 1330 E Kingsley St, Springfield, MO 65804. The listed phone number is (417) 887-1965.

What is C Faulkner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is C Faulkner enrolled in Medicare?

Yes. C Faulkner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does C Faulkner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list C Faulkner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for C Faulkner was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.