ANGELA FAUTH (OD) – Optometrist, NPI 1306302831

ANGELA FAUTH (OD) is a healthcare provider. based in Merrillville, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004146B (IN). The NPI Number for ANGELA FAUTH (OD) is 1306302831

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA FAUTH (OD)
NPI
1306302831
Phone
(219) 736-2020
Address
70 E 68TH PL
Enumeration Date
20 February 2019
Last Update Date
20 February 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2197692606
Graduation Year
2018 (8 years ago)
PAC ID
6103165345
Group Practice PAC ID
9436138617
Professional Enrollment ID
I20190305002348
Address ID
IN464103506ME70XXXPLXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for ANGELA FAUTH (OD)

  • 70, East 68th Place, Turkey Creek Meadows, Merrillville, Lake County, Indiana, 46410, United States

    MERRILLVILLE, IN 464103506

    Phone: (219) 736-2020

    Fax: (219) 769-3884

    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 66 Open Payments records for all available years, with a total value of $2,195.

Total Amount is formed as General ($2,195) + Research ($0) + Ownership ($0) = $2,195.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($534).

Total Amount

$2,195

General + Research + Ownership

Payments

66

Total payment records

General Amount

$2,195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2019-03-05

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
I20190305002348IOptometryINTBD

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
92250Photography of the retina6565$0
92014Established patient complete exam of visual system6464$0
99213Established patient office or other outpatient visit, 20-29 minutes5746$0
92004New patient complete exam of visual system4545$0
99214Established patient office or other outpatient visit, 30-39 minutes4329$0
View full utilization report →

Insurance plans in this area (ZIP 46410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436138617View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIL
-IN

Reviews

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Frequently asked questions

What NPI should I save for ANGELA FAUTH (OD)?
Save NPI 1306302831 if you need a stable reference for ANGELA FAUTH (OD).
Is ANGELA FAUTH (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ANGELA FAUTH (OD) treat or focus on?
Patients typically see ANGELA FAUTH (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is ANGELA FAUTH (OD)'s primary listing?
We display Merrillville, Indiana because that is what the record indicates for ANGELA FAUTH (OD).
How can I contact ANGELA FAUTH (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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