DR. FAUSTA DITAH (MD) – Gastroenterology Physician, NPI 1063675692
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 GASTROENTEROLOGY in TN
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Provider Addresses for DR. FAUSTA DITAH (MD)
1137 ARCHIBALD DR
CLARKSVILLE, TN 370402212
Phone: (734) 709-8776
Fax: (931) 502-3815
Type: Mailing
400, Jackson County, Oregon, United States
JACKSON, TN 383020400
Phone: (731) 423-8697
Fax: (731) 425-5783
Type: Mailing
700, West Forest Avenue, Hicksville, Jackson, Madison County, Tennessee, 38301, United States
STE 300
JACKSON, TN 383013937
Phone: (731) 422-0305
Fax: (731) 422-0357
Type: Location
647 DUNLOP LN STE 210
CLARKSVILLE, TN 370405165
Phone: (931) 502-3810
Fax: (931) 502-3815
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Fax: (615) 322-5048
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 103 Open Payments records for all available years, with a total value of $1,555.
Total Amount is formed as General ($1,555) + Research ($0) + Ownership ($0) = $1,555.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($836).
Total Amount
$1,555
General + Research + Ownership
Payments
103
Total payment records
General Amount
$1,555
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-08-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140804000937 | I | Gastroenterology | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 191 | 191 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 124 | 123 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 119 | 69 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 89 | 57 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | 52 | $0 |
Insurance plans in this area (ZIP 37040)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TN | 45385 | Removal of polyps or growths of large bowel using an endoscope | 49 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| General Surgery | PA | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Vascular Surgery, General Surgery | TN | |
| Physician Assistant | TN | |
| General Surgery | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN |
Reviews
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