BLAKE V FAUSETT (M.D) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1043449481

BLAKE V FAUSETT (M.D) is a healthcare provider. based in Eugene, Oregon. specializing in OPHTHALMOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D. They hold a License No. 35123349 (OH). The NPI Number for BLAKE V FAUSETT (M.D) is 1043449481

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE V FAUSETT (M.D)
NPI
1043449481
Phone
(541) 434-0922
Address
2550 WILLAKENZIE RD
Enumeration Date
7 July 2009
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
5414340922
Graduation Year
2009 (17 years ago)
PAC ID
9032343637
Group Practice PAC ID
3375604200
Professional Enrollment ID
I20160712001160
Address ID
OR974017865EU2550XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:16State licenses:4Digital endpointsOther names

343 OPHTHALMOLOGY in OR

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Provider Addresses for BLAKE V FAUSETT (M.D)

  • 2550, Willakenzie Road, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974017865

    Phone: (541) 434-0922

    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 44 Open Payments records for all available years, with a total value of $24,893.

Total Amount is formed as General ($24,893) + Research ($0) + Ownership ($0) = $24,893.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($24,467).

Total Amount

$24,893

General + Research + Ownership

Payments

44

Total payment records

General Amount

$24,893

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2016-07-12

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
I20160712001160IOphthalmologyORTBD

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
99204New patient office or other outpatient visit, 45-59 minutes178178$0
99203New patient office or other outpatient visit, 30-44 minutes158158$0
92285Photography of content of eyes112106$0
67904Repair of tendon of upper eyelid7673$0
15823Removal of excessive skin and fat of upper eyelid6565$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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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: 3375604200View full group profile
NameSpecialtyState
-OR
Physician AssistantOR

Reviews

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Frequently asked questions

Can I cross-check BLAKE V FAUSETT (M.D) using NPI 1043449481?
NPI 1043449481 belongs to BLAKE V FAUSETT (M.D); compare other details if you need extra assurance.
Is BLAKE V FAUSETT (M.D) still an active registrant?
BLAKE V FAUSETT (M.D) carries an active NPI according to the public dataset.
What clinical focus is listed for BLAKE V FAUSETT (M.D)?
At a glance, BLAKE V FAUSETT (M.D) is tied to Ophthalmic Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Is BLAKE V FAUSETT (M.D) located near Eugene?
BLAKE V FAUSETT (M.D) currently maps to Eugene, Oregon in this extract.
When was this NPI issued?
Enumeration for BLAKE V FAUSETT (M.D) is noted as July 7, 2009 where the registry provides it.

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