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Active NPI 1730128695 Individual Practitioner Male Practitioner

Dr. Burt I Faibisoff , MD

Plastic Surgery • Prescott, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Burt Faibisoff, MD is a certified Plastic Surgery practicing in Prescott, AZ. With approximately 51 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1975, Dr. Faibisoff delivers high-quality medical care to the local community at 810 AINSWORTH DR.

Dr. Faibisoff is affiliated with Prescott Medical And Dermatology Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

810 Ainsworth Dr

Prescott, AZ 863011612

Telephone 9285151155
Fax 9284605158
Associated Practice Facility / Clinic
🏢 Prescott Surgical Clinic Pa Facility NPI 1659609238

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Prescott, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
51 Yrs Matches City Avg
City Avg: 51.0 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Prescott, AZ (138 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Faibisoff (51 Years) 51 Yrs
Prescott Specialty Average (51.0 Years) 51.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
131 83 $268.98 $87.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
101 75 $373.78 $123.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
81 65 $475.00 $163.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
36 23 $337.00 $111.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
23 15 $225.00 $72.97
99284 Emergency department visit with moderate level of medical decision making
20 20 $290.79 $109.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
19 19 $1135.20 $451.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $465.00 $161.49
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
15 14 $600.00 $406.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $324.93 $107.63
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
12 12 $634.37 $150.98

Medical Specialties & State Licenses

CMS Verified: 2025-11-10
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License AZ 13213

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License AZ 13213

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
226672 (AZ)

Hospital & Practice Group Affiliations

Prescott Medical And Dermatology Group

810 Ainsworth Dr, Prescott, AZ 863011612

Phone: 9285151155

Secondary Practice Locations

2820 N Glassford Hill Rd Ste 103

Prescott Valley, AZ 863142256

Phone: 9287728553

2820 N Glassford Hill Rd Ste 107

Prescott Valley, AZ 863142256

Phone: 9287728553

820 Ainsworth Dr Ste B

Prescott, AZ 863011613

Phone: 9287775810

2035 Mesquite Ave, Suite A

Lake Havasu City, AZ 86403

Phone: 9286807707

203 S Candy Ln # 14

Cottonwood, AZ 863264120

Phone: 9286393387

2501 N Stockton Hill Rd Ste 108

Kingman, AZ 864014140

Phone: 9287595800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215992730

Doctor of Medicine (M.D.)

Dr. James Leo , MD

Internal Medicine

NPI 1730212010

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location November 10, 2025

Registered at 810 AINSWORTH DR, PRESCOTT, AZ 863011612 (Tel: 9285151155)

📍
Updated Practice Location January 16, 2025

Registered at 804 AINSWORTH DR STE 105, PRESCOTT, AZ 863011624 (Tel: 9285151155)

📍
Updated Business Mailing Address January 16, 2025

Registered at 1354 AUTUMN WALK, PRESCOTT, AZ 863052112 (Tel: 6024764074)

📍
Updated Practice Location March 08, 2022

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011630 (Tel: 9287775800)

📍
Updated Business Mailing Address March 08, 2022

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2022

Plastic Surgery (License #13213 in AZ)

NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2017

Registered at 2035 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403 (Tel: 9286807707)

📍
Updated Business Mailing Address March 30, 2017

Registered at 2035 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403 (Tel: 9286807707)

👤
Provider Name / Credentials Updated March 30, 2017

Recorded as BURT FAIBISOFF, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Plastic Surgery (License #13213 in AZ)

NPI Profile Active August 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2008

Registered at 2035 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403 (Tel: 9286807707)

📍
Updated Business Mailing Address August 12, 2008

Registered at 2035 MESQUITE AVE, SUITE A, LAKE HAVASU CITY, AZ 86403 (Tel: 9286807707)

👤
Provider Name / Credentials Updated August 12, 2008

Recorded as BURT FAIBISOFF, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2008

Plastic Surgery (License #13213 in AZ)

🟢
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730128695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: November 10, 2025
Sole Proprietor: Yes

Mailing Address

1354 Autumn Walk

Prescott, AZ 863052112

Phone: 6024764074

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.