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

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: November 01, 2026.

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

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
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

Accepted 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. 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.

Medicare Billing Reassignments

17

Medicare enrollment records show Benjamin Faustich reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2000 NORTH AVE
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 249 clinicians in this Medicare group
Multi-Specialty
32021 COUNTY ROAD 24 BLVD.
Cannon Falls, MN 55009
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,571 clinicians in this Medicare group
Multi-Specialty
301 2ND ST NE
New Prague, MN 56071
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,572 clinicians in this Medicare group
Optometrist
106 E 2ND ST
Winona, MN 55987
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Family Medicine
320 3RD AVE
Albany, MN 56307
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1326234006 (Minnesota)
  • 205 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
Critical Access
501 GOPHER DR
Tomah, WI 54660
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1992970453 (Wisconsin)
  • 188 clinicians in this Medicare group

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

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.

Emergency Medicine
2000 NORTH AVE
NORTHFIELD, MN 55057
Nurse Anesthetist, Certified Registered
2000 NORTH AVE
NORTHFIELD, MN 55057
Non-Pharmacy Dispensing Site
2000 NORTH AVE
NORTHFIELD, MN 55057
Occupational Therapist
2000 NORTH AVE
NORTHFIELD, MN 55057
Advanced Practice Midwife
2000 NORTH AVE
NORTHFIELD, MN 55057
Nurse Anesthetist, Certified Registered
2000 NORTH AVE
NORTHFIELD, MN 55057
Dietitian, Registered
2000 NORTH AVE
NORTHFIELD, MN 55057
Optometrist
2000 NORTH AVE
NORTHFIELD, MN 55057

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 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.

Where is Benjamin Faustich located?

Benjamin Faustich practices at 2000 North Ave, Northfield, MN 55057. The listed phone number is (507) 646-1000.

What is Benjamin Faustich's specialty?

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

Is Benjamin Faustich enrolled in Medicare?

Yes. Benjamin Faustich 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.

Which organizations bill Medicare for Benjamin Faustich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Faustich reassigns Medicare benefits to 17 organizations: Northfield Hospital (Northfield, MN), Mayo Clinic Health System-Southeast Minnesota Region (Cannon Falls, MN), Mayo Clinic Health System-Southwest Minnesota Region (New Prague, MN), Gundersen Clinic, Ltd. (Winona, MN), Mayo Clinic Health System-Fairmont (Fairmont, MN) and 12 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Faustich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Faustich accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and MercyCare and 3 other insurers list Benjamin Faustich 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 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 3 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.