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

Q: 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.

Q: What is Fausto Ordonez's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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 Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Fausto Ordonez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Watson Clinic LLP

Same address

Internal Medicine

1600 LAKELAND HILLS BLVD
Lakeland, FL 33805

Reassigned Medicare billing, Florida enrollment
417 clinicians in this Medicare group

NPI 1316940695 (863) 680-7000

Lakeland Regional Health Systems, Inc.

0.4 mi

Multi-Specialty

1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805

Reassigned Medicare billing, Florida enrollment
740 clinicians in this Medicare group

NPI 1497748743 (863) 687-7251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

63.29

Promoting Interoperability

Improvement Activities

Cost

64.85

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.

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