DAVID W FAIRBANKS MD
NPI 1700989969
Family Medicine in Raton, NM
About David W Fairbanks Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID W FAIRBANKS MD (NPI 1700989969) is an individual family medicine provider in Raton, New Mexico, licensed in Utah (6372524-1205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and maintains a secondary practice location in Provo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David W Fairbanks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
15Medicare enrollment records show David Fairbanks reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grants, NM 87020
- Reassigned Medicare billing, New Mexico enrollment
- 123 clinicians in this Medicare group
Oshkosh, NE 69154
- Reassigned Medicare billing, Nebraska enrollment
- 10 clinicians in this Medicare group
Elwood, NE 68937
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1467417352 (Nebraska)
- 69 clinicians in this Medicare group
Douglas, WY 82633
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1326085408 (Wyoming)
- 131 clinicians in this Medicare group
Loup City, NE 68853
- Reassigned Medicare billing, Nebraska enrollment
- 34 clinicians in this Medicare group
Newcastle, WY 82701
- Reassigned Medicare billing, Wyoming enrollment
- 11 clinicians in this Medicare group
Havre, MT 59501
- Reassigned Medicare billing, Montana enrollment
- 81 clinicians in this Medicare group
Hopkinsville, KY 42240
- Reassigned Medicare billing, Kentucky enrollment
- 36 clinicians in this Medicare group
Rochester, IN 46975
- Reassigned Medicare billing, Indiana enrollment
- 71 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Virginia enrollment
- 679 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jennie Stuart Medical Center
Acute Care Hospitals · Hopkinsville, KYHoward County Medical Center
Critical Access Hospitals · St Paul, NEMiners' Colfax Medical Center
Critical Access Hospitals · Raton, NMGov Juan F Luis Hospital & Medical Ctr
Acute Care Hospitals · St Croix, VIWeston County Health Services
Critical Access Hospitals · Newcastle, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RATON, NM 87740
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 David Fairbanks's NPI number?
The NPI number for David Fairbanks is 1700989969. It was assigned to this individual provider in the NPPES registry on September 6, 2006.
Where is David Fairbanks located?
David Fairbanks practices at 203 Hospital Dr, Raton, NM 87740. The listed phone number is (575) 445-7720.
What is David Fairbanks's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Fairbanks enrolled in Medicare?
Yes. David Fairbanks is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for David Fairbanks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Fairbanks reassigns Medicare benefits to 15 organizations: Fedko Emergency Physicians New Mexico LLC (Grants, NM), Garden County Hospital & Nursing Home (Oshkosh, NE), Lexington Regional Health Center (Elwood, NE), Memorial Hospital Of Converse County (Douglas, WY), Howard County Medical Center (Loup City, NE) and 10 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 David Fairbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Fairbanks accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross Blue Shield of Wyoming and Oscar Insurance Company list David Fairbanks 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 David Fairbanks affiliated with any hospitals?
According to CMS data, David Fairbanks is affiliated with Jennie Stuart Medical Center, Howard County Medical Center, Miners' Colfax Medical Center, Gov Juan F Luis Hospital & Medical Ctr and Weston County Health Services.
When was this NPI record last updated?
The NPPES record for David Fairbanks was last updated on April 30, 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.
# David W Fairbanks, MD · NPI 1700989969
Family Medicine physician in Raton, New Mexico. Individual provider, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1700989969 (Entity type: Individual)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 6372524-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 203 HOSPITAL DR, Raton, NM 87740-2012
- **Phone:** (575) 445-7720 · **Fax:** (575) 445-7737
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Fedko Emergency Physicians New Mexico LLC (NPI 1770047441, Grants, NM); Garden County Hospital & Nursing Home (NPI 1972607380, Oshkosh, NE); Lexington Regional Health Center (NPI 1407211220, Elwood, NE); Memorial Hospital Of Converse County (NPI 1356496491, Douglas, WY); Howard County Medical Center (NPI 1265885479, Loup City, NE); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** April 30, 2024
- **Other identifiers:** Medicaid 87155028 (NM); Medicaid 3810005265 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1700989969) · Data from the CMS NPPES public registry.