THOMAS WILSON FAUST SR. MD
NPI 1861564304
Internal Medicine - Gastroenterology in Charleston, SC

Q: What is Thomas Faust's NPI number?

The NPI number for Thomas Faust is 1861564304. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Thomas Faust's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Faust was last updated on August 2, 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.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

99.32/100

CMS Quality Rating

171 ASHLEY AVE, CHARLESTON, SC 29425(803) 434-8866(803) 933-3049 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2024, Jun 14, 2023, May 23, 2023 and 2 more (5 updates tracked since 2021).

On this page

About Thomas Wilson Faust Sr. Md NPPES

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

THOMAS WILSON FAUST SR. MD (NPI 1861564304) is an individual gastroenterology provider in Charleston, South Carolina, licensed in South Carolina (89555) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1861564304

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameTHOMAS WILSON FAUST SR.Credential: MD

Location Address171 ASHLEY AVECharleston, SC 29425

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (864) 522-8603

Phone(803) 434-8866

Fax(803) 933-3049

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1983

Enumeration DateNovember 13, 2006

Last NPPES UpdateAugust 2, 20245 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1861564304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in SC · 89555

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

171 ASHLEY AVE, Charleston, SC 29425

Open in Google Maps ↗

Secondary Practice Location 1

Location 11265 Union Avenue, 4 Shorb TowerMemphis, TN 38104 · Phone (901) 478-9183 · Fax (901) 478-8957

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Thomas Wilson Faust Sr. 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 ID941210033

PECOS Enrollment IDI20230602001416

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

Medicare enrollment records show Thomas Faust reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Associates Of The Medical University Of South Carol

Same address

Obstetrics & Gynecology

171 ASHLEY AVE
Charleston, SC 29425

Reassigned Medicare billing, South Carolina enrollment
2,594 clinicians in this Medicare group

NPI 1013934629 (843) 792-1414

Medstar Medical Group II LLC

443 mi

General Practice

13950 BRANDYWINE RD, SUITE 225
Brandywine, MD 20613

Reassigned Medicare billing, Maryland enrollment
Medicare enrollment name: Mgmc LLC
116 clinicians in this Medicare group

NPI 1285064550 (301) 782-2220

Ut Methodist Physicians LLC

600 mi

Internal Medicine

1325 EASTMORELAND AVE STE 310
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
170 clinicians in this Medicare group

NPI 1427317908 (901) 758-7970

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

Areas of Expertise CMS Part B claims 7

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.

35 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420026

Location2435 Forest DriveColumbia, SC 29204 · Richland County

Emergency services

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420036

Location800 W Meeting StLancaster, SC 29720 · Lancaster County

Emergency services Birthing friendly

Kershawhealth

Acute Care Hospitals · Camden, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420048

Location1315 Roberts StreetCamden, SC 29020 · Kershaw County

Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number420091

Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

99.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

90.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers51 claims2,880 services$0.26 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers20 claims2,100 services$0.91 avg. paid by Medicare

Sirolimus, oral, 1 mg J7520

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers22 claims675 services$2.49 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers70 claims70 services$17.52 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers42 claims42 services$12.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAROLYN REED WORD M.D.

Allergy & Immunology