SUSAN CAROLE FAIR (DO) – Family Medicine Physician, NPI 1457351223

SUSAN CAROLE FAIR (DO) is a healthcare provider. based in Merritt island, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS7489 (FL). The NPI Number for SUSAN CAROLE FAIR (DO) is 1457351223

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN CAROLE FAIR (DO)
NPI
1457351223
Phone
(321) 455-1226
Address
595 N COURTENAY PKWY
Enumeration Date
22 July 2005
Last Update Date
1 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3214551226
Graduation Year
1996 (30 years ago)
PAC ID
7810084985
Professional Enrollment ID
I20071106000661
Address ID
FL329534790ME595XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for SUSAN CAROLE FAIR (DO)

  • 595, North Courtenay Parkway, Merritt Island, Brevard County, Florida, 32953, United States

    SUITE 102

    MERRITT ISLAND, FL 329534851

    Phone: (321) 455-1226

    Fax: (321) 456-5531

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,003.

Total Amount is formed as General ($1,003) + Research ($0) + Ownership ($0) = $1,003.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($243).

Total Amount

$1,003

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,003

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071106000661IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes460196$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month35437$0
99213Established patient office or other outpatient visit, 20-29 minutes283156$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit204204$0
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment2323$0
View full utilization report →

Insurance plans in this area (ZIP 32953)

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Provider's Procedures

SUSAN CAROLE FAIR (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL81002Urinalysis, manual test2416

Reviews

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Frequently asked questions

Can I verify SUSAN CAROLE FAIR (DO) with an NPI only?
You can start verification with NPI 1457351223 for SUSAN CAROLE FAIR (DO), then check state licensing separately.
Is SUSAN CAROLE FAIR (DO) still practicing?
SUSAN CAROLE FAIR (DO) is currently listed as active in the public NPI registry.
What is SUSAN CAROLE FAIR (DO) best known for clinically?
Directory data describes SUSAN CAROLE FAIR (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SUSAN CAROLE FAIR (DO) based?
SUSAN CAROLE FAIR (DO) is tied to Merritt Island, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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