PHILIP THOMAS FARABAUGH MD
NPI 1285763615
Family Medicine in Grand Terrace, CA

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313(909) 864-1097 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 11, 2023, Nov 24, 2020 (2 updates tracked since 2020).

About Philip Thomas Farabaugh Md NPPES

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

PHILIP THOMAS FARABAUGH MD (NPI 1285763615) is an individual family medicine provider in Grand Terrace, California, licensed in California (C55939) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1997).

NPPES Registry Identity

NPI1285763615
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP THOMAS FARABAUGHCredential: MD
Location Address11980 MOUNT VERNON AVEGrand Terrace, CA 92313-5172
Mailing Address11980 Mount Vernon AveGrand Terrace, CA 92313-5172 · (909) 864-1097
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1997
Enumeration DateMarch 2, 2007
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
NPI 1285763615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · C55939
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11980 MOUNT VERNON AVE, Grand Terrace, CA 92313

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

Philip Thomas Farabaugh 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 ID9931506284
PECOS Enrollment IDI20210929000884
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92313 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

Local Education Agency (LEA)
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Nurse Practitioner (Family)
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Clinic/Center (Primary Care)
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Obstetrics & Gynecology
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Driver
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Driver
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Marriage & Family Therapist
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 92313

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285763615, enumerated as an "individual" on March 02, 2007.

The provider is located at 11980 MOUNT VERNON AVE GRAND TERRACE, CA 92313 and the phone number is (909) 864-1097.

Family Medicine with taxonomy code 207Q00000X.