Doctor profile · Federal record

Dr. Burt Faibisoff, MD

Plastic Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Surgery of the Hand (Plastic Surgery) Physician · Prescott, AZ

  • NPI 1730128695
  • Accepts Medicare
  • 51 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 7 locations .

NPPES Updated May 11, 2026
Primary practice
810 Ainsworth Dr
Prescott, AZ 863011612
(928) 515-1155
fax (928) 460-5158
Additional location
203 S Candy Ln # 14
Cottonwood, AZ 863264120
(928) 639-3387
fax (928) 776-0405
Additional location
2035 Mesquite Ave, Suite A
Lake Havasu City, AZ 86403
(928) 680-7707
fax (928) 680-7773
Show 4 more locations
Additional location
2501 N Stockton Hill RD Ste 108
Kingman, AZ 864014140
(928) 759-5800
fax (928) 776-0405
Additional location
2820 N Glassford Hill RD Ste 103
Prescott Valley, AZ 863142256
(928) 772-8553
fax (928) 776-0405
Additional location
2820 N Glassford Hill RD Ste 107
Prescott Valley, AZ 863142256
(928) 772-8553
fax (928) 776-0405
Additional location
820 Ainsworth Dr Ste B
Prescott, AZ 863011613
(928) 777-5810
fax (928) 776-0405
Mailing address
1354 Autumn Walk
Prescott, AZ 863052112

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
November 10, 2025
Year of graduation
1975 — 51 yrs since
Specialty taxonomy
208200000X — NUCC code
State license (1)
Arizona #13213
Medicaid
AZ #226672

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1730128695. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
516
Distinct HCPCS
10
Medicare allowed
$63,673
HCPCS Description Services Patients Avg allowed
99212 Established patient office or other outpatient visit, 10-19 minutes 121 83 $55
99213 Established patient office or other outpatient visit, 20-29 minutes 112 77 $87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 65 59 $168
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 47 24 $77
99214 Established patient office or other outpatient visit, 30-39 minutes 37 34 $124
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 33 19 $115
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 24 22 $459
99203 New patient office or other outpatient visit, 30-44 minutes 24 24 $109
99204 New patient office or other outpatient visit, 45-59 minutes 23 23 $161
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 18 14 $130

In context: peer comparison

Among 1 peers in this city , average services per provider: 46. This provider delivers 11× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$420
Transactions
6
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Integra LifeSciences Corporation 1 $313.75
Smith+Nephew, Inc. 2 $41.63
Chiesi USA, Inc. 1 $36.26
MIMEDX Group, Inc. 1 $15.64
Advanced Oxygen Therapy Inc. 1 $12.30

By nature of payment

Long term medical supply or device loan
$314
Food and Beverage
$106

Frequently asked questions

Auto-generated from federal data
What is Dr. Burt Faibisoff's medical specialty?
Dr. Burt Faibisoff practices Plastic Surgery Physician in Prescott, AZ.
Where does Dr. Burt Faibisoff practice?
Dr. Burt Faibisoff practices at 810 Ainsworth Dr, Prescott, AZ 863011612. Office phone: 9285151155.
What is Dr. Burt Faibisoff's NPI?
Dr. Burt Faibisoff's National Provider Identifier (NPI) is 1730128695, issued by NPPES.
Does Dr. Burt Faibisoff accept Medicare assignment?
Yes. Dr. Burt Faibisoff accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Burt Faibisoff commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); Established patient office or other outpatient visit (HCPCS 99213); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.