FAISAL USMAN MD
NPI 1194011908
Internal Medicine - Critical Care Medicine in St Augustine, FL

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
300 HEALTH PARK BLVD, STE 4000, ST AUGUSTINE, FL 32086(904) 824-8666(904) 824-8933 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Faisal Usman Md NPPES

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

FAISAL USMAN MD (NPI 1194011908) is an individual critical care medicine provider in St Augustine, Florida, licensed in Florida (ME100951) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194011908
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameFAISAL USMANCredential: MD
Location Address300 HEALTH PARK BLVD, STE 4000St Augustine, FL 32086-3707
Mailing Address300 Health Park Blvd Ste 4000St Augustine, FL 32086-3704 · (412) 822-7410 · Fax (412) 822-7411
Fax(904) 824-8933
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 21, 2011
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1194011908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in FL · ME100951
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME100951 (FL)
300 HEALTH PARK BLVD, St Augustine, FL 32086

Secondary Practice Locations 3

Location 1600 E Dixie AveLeesburg, FL 34748-5925 · Phone (352) 559-5051
Location 21600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 559-5051
Location 3400 Health Park BlvdSt Augustine, FL 32086-5784 · Phone (904) 824-8666 · Fax (412) 822-7411

Other Identifiers 3

Medicaid114544300FL
Other62545FL · Fl Blue
Medicaid003637000FL

Accepted 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

Faisal Usman 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 ID5991877524
PECOS Enrollment IDI20080626000402
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 23

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
938 services414 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
665 services286 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.
500 services297 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
327 services246 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.
293 services237 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
206 services192 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
24%843 patients1/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
90%210 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers187 claims187 services$33.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers76 claims76 services$78.26 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers63 claims183 services$31.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers68 claims394 services$17.35 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers93 claims553 services$12.38 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers187 claims187 services$44.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
300 HEALTH PARK BLVD, #3002
ST AUGUSTINE, FL 32086
Advanced Practice Midwife
300 HEALTH PARK BLVD, SUITE 3002
ST AUGUSTINE, FL 32086
Anesthesiology (Pain Medicine)
300 HEALTH PARK BLVD, SUITE 5008
ST AUGUSTINE, FL 32086
Surgery
300 HEALTH PARK BLVD, 5002
ST. AUGUSTINE, FL 32086
Psychiatry & Neurology (Neurology)
300 HEALTH PARK BLVD, SUITE 5010
ST AUGUSTINE, FL 32086
Specialist
300 HEALTH PARK BLVD, SUITE 5010
ST AUGUSTINE, FL 32086
Internal Medicine (Cardiovascular Disease)
300 HEALTH PARK BLVD, SUITE 1006
ST AUGUSTINE, FL 32086
Internal Medicine (Cardiovascular Disease)
300 HEALTH PARK BLVD, STE 1000
ST AUGUSTINE, FL 32086

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 Faisal Usman's NPI number?

The NPI number for Faisal Usman is 1194011908. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Faisal Usman located?

Faisal Usman practices at 300 Health Park Blvd Ste 4000, St Augustine, FL 32086. The listed phone number is (904) 824-8666.

What is Faisal Usman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Faisal Usman enrolled in Medicare?

Yes. Faisal Usman 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 Faisal Usman accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Faisal Usman 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.

Is Faisal Usman affiliated with any hospitals?

According to CMS data, Faisal Usman is affiliated with Shands Jacksonville, Flagler Hospital and Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Faisal Usman was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.