MR. JUSTIN JOSEPH FAZIO (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1154853083
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for MR. JUSTIN JOSEPH FAZIO (M.D.)
North Broadway, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
SECOND FLOOR
MILWAUKEE, WI 532026016
Phone:
Type: Mailing
2805 J STREET
SUITE 100
SACRAMENTO, CA 95816
Phone: (916) 492-1828
Fax: (916) 492-1834
Type: Location
Aurora Saint Luke's Medical Center, 2900, West Oklahoma Avenue, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
MILWAUKEE, WI 532154330
Phone: (414) 649-3323
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,889.
Total Amount is formed as General ($1,889) + Research ($0) + Ownership ($0) = $1,889.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($287).
Total Amount
$1,889
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,889
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $287 |
| Arcutis Biotherapeutics, Inc. | $245 |
| ABBVIE INC. | $237 |
| Lilly USA, LLC | $233 |
| E.R. Squibb & Sons, L.L.C. | $221 |
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: 2024-01-24
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 |
|---|---|---|---|---|
| I20240124004245 | I | Dermatology | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53202)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.