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KIMBERLY R FAUCHER MD
NPI 1225147101
Obstetrics & Gynecology - Gynecology in Willits, CA

Active since August 30, 2006PECOS EnrolledCLIA 05D1098501 · Waiver
73.79/100
CMS Quality Rating
1155 SOUTH MAIN STREET, SUITE 101, WILLITS, CA 95490(707) 456-1100(707) 456-1101 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly R Faucher Md NPPES

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

KIMBERLY R FAUCHER MD (NPI 1225147101) is an individual gynecology provider in Willits, California, licensed in California (G74987) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 20, 2027, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1989).

NPPES Registry Identity

NPI1225147101
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameKIMBERLY R FAUCHERCredential: MD
Location Address1155 SOUTH MAIN STREET, SUITE 101Willits, CA 95490
Mailing Address1155 South Main Street, Suite 101Willits, CA 95490 · (707) 456-1100 · Fax (707) 456-1101
Phone(707) 456-1100
Fax(707) 456-1101
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1989
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 25, 2014
✔ NPI 1225147101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Licenses✔ Licensed in CA · G74987✔ Licensed in WA · MD00036004
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1155 SOUTH MAIN STREET, Willits, CA 95490
Open in Google Maps ↗

Other Identifiers 7

OtherUS5553733WA · Aetna/ushc Specialist
Medicare UPING78220
Other4821FAWA · Blue Shield
Other0039592WA · Labor & Industry
OtherP00239584Railroad Medicare
Medicaid8232035WA
Medicare PIN8852867WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly R Faucher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961442256
PECOS Enrollment IDI20090227000231
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1098501

Kimberly Faucher, MD · Willits, CA
Active · expires Apr 20, 2027
CLIA Number05D1098501
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorKimberly Faucher, MD
Laboratory Phone(707) 456-1100
Laboratory LocationKimberly Faucher, MD1155 Main Street, Willits, CA 95490
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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 office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
333 services80 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.
55 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 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.
13 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95490 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

73.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.87
Promoting Interoperability92
Improvement Activities40
Cost36.93

Other Providers at the Same Location NPPES

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

KIMBERLY R FAUCHER MD MEDICAL CORPORATION
Obstetrics & Gynecology (Gynecology)
1155 SOUTH MAIN STREET
WILLITS, CA 95490
Mendocino County (707) 456-1100

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 Kimberly Faucher's NPI number?

The NPI number for Kimberly Faucher is 1225147101. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kimberly Faucher located?

Kimberly Faucher practices at 1155 South Main Street Suite 101, Willits, CA 95490. The listed phone number is (707) 456-1100.

What is Kimberly Faucher's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Kimberly Faucher enrolled in Medicare?

Yes. Kimberly Faucher is registered in the Medicare PECOS enrollment system.

Does Kimberly Faucher hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1098501) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kimberly Faucher was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.