Active NPI 1821056706 Individual Practitioner Male Practitioner

Dr. William J Faulkner , MD

Ophthalmology • Covington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Faulkner, MD is a certified Ophthalmology practicing in Covington, KY. With approximately 50 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1976, Dr. Faulkner delivers high-quality medical care to the local community at 1401 MADISON AVE.

Dr. Faulkner is affiliated with Healthpoint Family Care, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include microfluid analysis of tears, established patient outpatient office visit, removal of recurring cataract in lens capsule using a laser. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 Madison Ave

Covington, KY 410113313

Telephone 8596556100

Associated Practice Facility / Clinic

🏢 Healthpoint Family Care Inc Facility NPI 1982865796

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Covington, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs Matches City Avg

City Avg: 50.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Covington, KY (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Faulkner (50 Years) 50 Yrs

Covington Specialty Average (50.0 Years) 50.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	449	200	$160.11	$22.39
99213 Established patient office or other outpatient visit, typically 15 minutes	418	344	$351.46	$88.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	101	$498.80	$123.98
66821 Removal of recurring cataract in lens capsule using a laser	71	68	$1432.66	$321.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$656.21	$164.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$434.38	$109.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$211.13	$54.37
68761 Closure of tear duct opening using plug	18	13	$670.50	$152.08
92014 Established patient complete exam of visual system	13	13	$486.92	$121.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	811	337	$50.00	$22.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	558	405	$202.00	$105.40
99213 Established patient office or other outpatient visit, typically 15 minutes	260	234	$136.00	$72.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$204.00	$104.36
66821 Removal of recurring cataract in lens capsule using a laser	109	108	$903.39	$336.36
92014 Established patient complete exam of visual system	105	105	$228.00	$121.01
92004 New patient complete exam of visual system	37	37	$276.00	$142.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$315.00	$161.07
68761 Closure of tear duct opening using plug	21	16	$402.38	$150.02
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$140.00	$73.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,075	394	$50.00	$21.96
99213 Established patient office or other outpatient visit, typically 15 minutes	581	446	$136.00	$70.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	174	$202.00	$104.15
92014 Established patient complete exam of visual system	175	172	$228.00	$120.17
92012 Established patient problem focused exam of visual system	174	167	$157.00	$84.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$204.00	$103.74
66821 Removal of recurring cataract in lens capsule using a laser	137	132	$827.74	$325.13
92004 New patient complete exam of visual system	66	66	$276.00	$144.29
68761 Closure of tear duct opening using plug	51	45	$516.18	$180.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$315.00	$159.00
83516 Analysis of substance using immunoassay technique	34	17	$50.00	$12.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$82.00	$43.07
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$140.00	$73.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	913	343	$50.05	$21.85
99213 Established patient office or other outpatient visit, typically 15 minutes	703	510	$136.00	$69.68
92012 Established patient problem focused exam of visual system	187	162	$157.00	$83.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	147	147	$204.00	$103.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	129	$202.19	$103.25
66821 Removal of recurring cataract in lens capsule using a laser	128	125	$855.91	$338.10
92014 Established patient complete exam of visual system	124	120	$228.00	$119.33
68761 Closure of tear duct opening using plug	76	52	$419.61	$146.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$315.00	$159.09
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$140.00	$72.28
92004 New patient complete exam of visual system	26	26	$276.00	$144.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$82.00	$41.85
83516 Analysis of substance using immunoassay technique	25	13	$50.00	$12.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	841	600	$136.00	$84.58
83861 Microfluid analysis of tears	793	313	$50.00	$22.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	183	183	$204.00	$123.64
66821 Removal of recurring cataract in lens capsule using a laser	147	144	$736.36	$396.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	98	$82.00	$50.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	110	$202.00	$126.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$315.00	$191.76
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$140.00	$81.86
68761 Closure of tear duct opening using plug	51	26	$280.00	$133.75
83516 Analysis of substance using immunoassay technique	32	16	$50.00	$15.50
92014 Established patient complete exam of visual system	21	21	$228.00	$145.09

Medical Specialties & State Licenses

CMS Verified: 2021-07-14

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 31051

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OH 35044577

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0454360 (OH)

Medicaid State Provider ID

64783525 (KY)

Medicaid State Provider ID

100373630 (IN)

Commercial Insurance / Payer ID Bcbs

000000021249

Commercial Insurance / Payer ID Railroad Medicare

180026064 (OH)

Hospital & Practice Group Affiliations

Healthpoint Family Care, Inc.

1401 Madison Ave, Covington, KY 410113313

Phone: 8596556100

Secondary Practice Locations

1945 Cei Dr

Cincinnati, OH 452425664

Phone: 5135693741

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Virginia Faulkner , DMD

Dentist

NPI 1003264888

Doctor of Dental Medicine

Dr. Adam Wooten , DO

Psychiatry & Neurology - Psychiatry

NPI 1023292364

Doctor of Osteopathic Medicine (D.O.)

Kyla Riddell , APRN

Nurse Practitioner - Family

NPI 1043090400

Advanced Practice Registered Nurse

Dr. Liah Laureno-Alvarez , MD

Internal Medicine

NPI 1053392803

Doctor of Medicine (M.D.)

De Andre Evans

Dentist - General Practice

NPI 1063372365

Dr. Jinhui Li , DDS, PhD

Dentist - General Practice

NPI 1073242756

Doctor of Dental Surgery, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 14, 2021

Registered at 1401 MADISON AVE, COVINGTON, KY 410113313 (Tel: 8596556100)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Ophthalmology (License #31051 in KY)

✅

NPI Profile Active December 18, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2007

Registered at 1945 CEI DR, CINCINNATI, OH 452425664 (Tel: 5135693741)

📍

Updated Business Mailing Address December 18, 2007

Registered at 1945 CEI DRIVE, CINCINNATI, OH 452423311 (Tel: 5135693741)

👤

Provider Name / Credentials Updated December 18, 2007

Recorded as WILLIAM FAULKNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2007

Ophthalmology (License #35044577 in OH)

🟢

Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. William Faulkner. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821056706

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2006

Last Update: July 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1945 Cei Drive

Cincinnati, OH 452423311

Phone: 5135693741

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.