DR. JOSEPH FENTON FAUST M.D.
NPI 1376762047
Ophthalmology in Zephyrhills, FL

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
89.27/100
CMS Quality Rating
6329 GALL BLVD, ZEPHYRHILLS, FL 33542(813) 788-7616(813) 783-2856 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, May 18, 2018, Oct 17, 2016 (3 updates tracked since 2016).

About Dr. Joseph Fenton Faust M.d. NPPES

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

DR. JOSEPH FENTON FAUST M.D. (NPI 1376762047) is an individual ophthalmology provider in Zephyrhills, Florida, licensed in Florida (ME78643) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1977).

NPPES Registry Identity

NPI1376762047
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOSEPH FENTON FAUSTCredential: M.D.
Location Address6329 GALL BLVDZephyrhills, FL 33542-2515
Mailing Address6329 Gall BlvdZephyrhills, FL 33542-2515 · (813) 788-7616 · Fax (813) 783-2856
Fax(813) 783-2856
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1977
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPI 1376762047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME78643
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
6329 GALL BLVD, Zephyrhills, FL 33542

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

Dr. Joseph Fenton Faust M.d. 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 ID8123173705
PECOS Enrollment IDI20090903000203
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 20

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 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.
437 services408 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.
403 services274 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
181 services170 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
173 services154 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
154 services149 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
137 services118 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

89.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost64.25

Other Providers at the Same Location NPPES 10

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

Optometrist
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology (Retina Specialist)
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Ophthalmology
6329 GALL BLVD
ZEPHYRHILLS, FL 33542
Optometrist
6329 GALL BLVD
ZEPHYRHILLS, FL 33542

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 Joseph Faust's NPI number?

The NPI number for Joseph Faust is 1376762047. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Joseph Faust located?

Joseph Faust practices at 6329 Gall Blvd, Zephyrhills, FL 33542. The listed phone number is (813) 788-7616.

What is Joseph Faust's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Faust enrolled in Medicare?

Yes. Joseph Faust 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 Joseph Faust accept?

Health plans from AvMed, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Joseph Faust 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.

When was this NPI record last updated?

The NPPES record for Joseph Faust was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.