DR. WILLIAM J FAULKNER MD
NPI 1821056706
Ophthalmology in Covington, KY
About Dr. William J Faulkner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM J FAULKNER MD (NPI 1821056706) is an individual ophthalmology provider in Covington, Kentucky, licensed in Kentucky (31051) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of University Of Louisville School Of Medicine (1976).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 5
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. William J Faulkner 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.
Medicare Billing Reassignments
2Medicare enrollment records show William Faulkner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport, KY 41071
- Reassigned Medicare billing, Kentucky enrollment
- 69 clinicians in this Medicare group
Cincinnati, OH 45242
- Reassigned Medicare billing, Ohio enrollment
- 225 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 41011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COVINGTON, KY 41011
COVINGTON, KY 41011
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 William Faulkner's NPI number?
The NPI number for William Faulkner is 1821056706. It was assigned to this individual provider in the NPPES registry on May 2, 2006.
Where is William Faulkner located?
William Faulkner practices at 1401 Madison Ave, Covington, KY 41011. The listed phone number is (859) 655-6100.
What is William Faulkner's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is William Faulkner enrolled in Medicare?
Yes. William Faulkner 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 William Faulkner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Faulkner reassigns Medicare benefits to 2 organizations: Healthpoint Family Care Inc (Newport, KY) and Cei Physicians Psc LLC (Cincinnati, OH). 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 William Faulkner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Faulkner accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 6 other insurers list William Faulkner 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 William Faulkner was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. William J Faulkner, MD · NPI 1821056706
Ophthalmology physician in Covington, Kentucky. Individual provider, active in the CMS NPPES registry since May 2, 2006.
## Identity
- **NPI:** 1821056706 (Entity type: Individual)
- **Enumerated:** May 2, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 31051 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 MADISON AVE, Covington, KY 41011-3313
- **Phone:** (859) 655-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Healthpoint Family Care Inc (NPI 1508889742, Newport, KY); Cei Physicians Psc LLC (NPI 1942296298, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 1976
## Record status
- **NPPES last updated:** July 14, 2021
- **Other identifiers:** Other 180026064 (OH); Medicaid 100373630 (IN); Medicaid 0454360 (OH); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821056706) · Data from the CMS NPPES public registry.