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DR. FAUSTO EDGARDO ORDONEZ MD
NPI 1255702809
Psychiatry & Neurology - Neurology in Lakeland, FL

Active since October 08, 2015PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7000(866) 264-8519 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2022, Nov 23, 2020, Nov 10, 2020 and 2 more (5 updates tracked since 2020).

About Dr. Fausto Edgardo Ordonez Md NPPES

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

DR. FAUSTO EDGARDO ORDONEZ MD (NPI 1255702809) is an individual neurology provider in Lakeland, Florida, licensed in Florida (ME144336) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255702809
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. FAUSTO EDGARDO ORDONEZCredential: MD
Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805-3019
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3019 · (863) 680-7000 · Fax (866) 264-8519
Phone(863) 680-7000
Fax(866) 264-8519
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 8, 2015
Last NPPES UpdateFebruary 16, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1255702809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · ME144336✔ Licensed in MS · 27418✔ Licensed in AR · E-13061✔ Licensed in TN · 61012✔ Licensed in NY · 306619
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1600 LAKELAND HILLS BLVD, Lakeland, FL 33805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Fausto Edgardo Ordonez 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 ID3577856921
PECOS Enrollment IDI20200706002664
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.

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.
257 services243 patients
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.
216 services171 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.
143 services124 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.
141 services128 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services73 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

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.

DAWN M PALASZEWSKI M.D.
Obstetrics & Gynecology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000
DR. JULIA MCNEICE DO
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
CHEZA MARIE WILKINSON APRN
Nurse Practitioner
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7490
FRANCES MARIE HARRIS MD
Anesthesiology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000
ROBERT H BEVIS MD
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
DANTON MANABAT SUN MD
Family Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
DR. LILLIAM S. CHIQUES-COLON MD
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
ANNA M DE LA TORRE CRNA
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000

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 Fausto Ordonez's NPI number?

The NPI number for Fausto Ordonez is 1255702809. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Where is Fausto Ordonez located?

Fausto Ordonez practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7000.

What is Fausto Ordonez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Fausto Ordonez enrolled in Medicare?

Yes. Fausto Ordonez 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 Fausto Ordonez accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Fausto Ordonez 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 Fausto Ordonez affiliated with any hospitals?

According to CMS data, Fausto Ordonez is affiliated with Winter Haven Hospital and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Fausto Ordonez was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.