DR. BENJAMIN MARK FAUSTICH M.D.
NPI 1699092916
Obstetrics & Gynecology in Northfield, MN

Q: What is Benjamin Faustich's NPI number?

The NPI number for Benjamin Faustich is 1699092916. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Q: What is Benjamin Faustich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Faustich was last updated on September 21, 2023. 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.

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment

2000 NORTH AVE, NORTHFIELD, MN 55057(507) 646-1000 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2020, May 23, 2018 (2 updates tracked since 2018).

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About Dr. Benjamin Mark Faustich M.d. NPPES

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

DR. BENJAMIN MARK FAUSTICH M.D. (NPI 1699092916) is an individual obstetrics & gynecology provider in Northfield, Minnesota, licensed in Wisconsin (71598-20) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2010).

NPPES Registry Identity

NPI1699092916

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. BENJAMIN MARK FAUSTICHCredential: M.D.

Location Address2000 NORTH AVENorthfield, MN 55057-1498

Mailing Address6521 Ridgeview DrEdina, MN 55439-1234 · (920) 202-1428

Phone(507) 646-1000

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2010

Enumeration DateApril 26, 2010

Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2023

✔ NPI 1699092916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WI · 71598-20✔ Licensed in MN · 58019

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2000 NORTH AVE, Northfield, MN 55057

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, CareSource (Common Ground Healthcare) and more.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. Benjamin Mark Faustich 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 ID8123246451

PECOS Enrollment IDI20190829003556

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 55057 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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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