C BYRON FAULKNER (MD) – Ophthalmology Physician, NPI 1104826965

C BYRON FAULKNER (MD) is a healthcare provider. based in Springfield, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 104165 (MO). The NPI Number for C BYRON FAULKNER (MD) is 1104826965

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
C BYRON FAULKNER (MD)
NPI
1104826965
Phone
(417) 887-1965
Address
1330 E KINGSLEY ST
Enumeration Date
22 July 2005
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4178871965
Graduation Year
1989 (37 years ago)
PAC ID
8820124183
Group Practice PAC ID
2668508920
Professional Enrollment ID
I20110401000655
Address ID
MO658047216SP1330XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

444 OPHTHALMOLOGY in MO

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Provider Addresses for C BYRON FAULKNER (MD)

  • 1330, East Kingsley Street, Springfield, Greene County, Missouri, 65804, United States

    SPRINGFIELD, MO 658047216

    Phone: (417) 887-1965

    Fax: (417) 887-6499

    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 34 Open Payments records for all available years, with a total value of $752.

Total Amount is formed as General ($752) + Research ($0) + Ownership ($0) = $752.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($146).

Total Amount

$752

General + Research + Ownership

Payments

34

Total payment records

General Amount

$752

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-04-01

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
I20110401000655IOphthalmologyMOTBD

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 minutes323322$0
92014Established patient complete exam of visual system312309$0
99213Established patient office or other outpatient visit, 20-29 minutes180169$0
99212Established patient office or other outpatient visit, 10-19 minutes12299$0
92012Established patient problem focused exam of visual system11091$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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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: 2668508920View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

What federal number belongs to C BYRON FAULKNER (MD)?
The federal identifier for C BYRON FAULKNER (MD) is NPI 1104826965.
Is C BYRON FAULKNER (MD)'s NPI currently valid?
The extract we use shows C BYRON FAULKNER (MD) as active.
Does C BYRON FAULKNER (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for C BYRON FAULKNER (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for C BYRON FAULKNER (MD)?
The page summarizes Springfield, Missouri for C BYRON FAULKNER (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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