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Active NPI 1790763662 Individual Practitioner Male Practitioner

Dr. Blake Alex Faust , MD

Plastic Surgery • Windsor, CO

Professional Overview & Biography Verified Profile Summary

Dr. Blake Faust, MD is a registered healthcare professional specializing in Plastic Surgery in Windsor, CO. Practice services are available at 2029 MEANDER RD under active NPI credentials.

Frequently performed procedures and clinical services include revision of reconstructed breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2029 Meander Rd

Windsor, CO 805504628

Telephone 9703810829

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Windsor, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Windsor, CO (85 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
19380 Revision of reconstructed breast
12 11 $2967.92 $660.69

Medical Specialties & State Licenses

CMS Verified: 2026-01-09
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CO 43327

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
12683027 (CO)
Commercial Insurance / Payer ID Rr Medicare
P00711616 (CO)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 09, 2026

Registered at 2029 MEANDER RD, WINDSOR, CO 805504628 (Tel: 9703810829)

📍
Updated Business Mailing Address January 09, 2026

Registered at 2029 MEANDER RD, WINDSOR, CO 805504628 (Tel: 9703810829)

👤
Provider Name / Credentials Updated January 09, 2026

Recorded as BLAKE FAUST, MD

NPI Profile Active January 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2015

Registered at 4450 UNION ST, SUITE 100, JOHNSTOWN, CO 805342864 (Tel: 9706247979)

📍
Updated Business Mailing Address January 28, 2015

Registered at 4450 UNION ST, SUITE 100, JOHNSTOWN, CO 805342864 (Tel: 9706247979)

👤
Provider Name / Credentials Updated January 28, 2015

Recorded as DENIS GONYON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2015

Plastic Surgery (License #43327 in CO)

🟢
Initial NPI Registration & Enumeration January 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790763662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2006
Last Update: January 09, 2026
Sole Proprietor: Yes

Mailing Address

2029 Meander Rd

Windsor, CO 805504628

Phone: 9703810829

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.