JAMES ARTHUR FAUSTO JR. MD
NPI 1508092610
Family Medicine - Hospice and Palliative Medicine in Seattle, WA

Active since June 03, 2009PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1959 NE PACIFIC ST, 3RD FLOOR, SEATTLE, WA 98185(206) 543-8981 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Arthur Fausto Jr. Md NPPES

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

JAMES ARTHUR FAUSTO JR. MD (NPI 1508092610) is an individual hospice and palliative medicine provider in Seattle, Washington, licensed in Washington (MD60542553) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1508092610
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameJAMES ARTHUR FAUSTO JR.Credential: MD
Location Address1959 NE PACIFIC ST, 3RD FLOORSeattle, WA 98185-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 3, 2009
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
NPI 1508092610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License Licensed in WA · MD60542553
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD60542553 (WA)
1959 NE PACIFIC ST, Seattle, WA 98185

Other Identifiers 1

Medicaid1508092610WA

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

James Arthur Fausto Jr. 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 ID1355496670
PECOS Enrollment IDI20150506001450
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 2

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.

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.
25 services18 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98185 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Dentist
1959 NE PACIFIC ST, HSB - B221
SEATTLE, WA 98185
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST
SEATTLE, WA 98185
Respiratory Therapist, Registered
1959 NE PACIFIC ST, BOX 356172
SEATTLE, WA 98185
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST
SEATTLE, WA 98185
Clinic/Center (Oncology, Radiation)
1959 NE PACIFIC ST
SEATTLE, WA 98185
Dental Hygienist
1959 NE PACIFIC ST
SEATTLE, WA 98185

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 James Fausto's NPI number?

The NPI number for James Fausto is 1508092610. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is James Fausto located?

James Fausto practices at 1959 NE Pacific St 3rd Floor, Seattle, WA 98185. The listed phone number is (206) 543-8981.

What is James Fausto's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is James Fausto enrolled in Medicare?

Yes. James Fausto 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 James Fausto accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list James Fausto 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 James Fausto affiliated with any hospitals?

According to CMS data, James Fausto is affiliated with University Of Washington Medical Ctr and Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for James Fausto was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.