Physician

Charbel Simon Fawaz, MD

According to 2025 Medicare claims, Charbel Fawaz, MD (NPI: 1487375440) practices neurosurgery in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Frederick, VA. This provider's primary affiliated billing organization is VALLEY PHYSICIAN ENTERPRISE, INC. (NPI: 1194387647; TIN: 262767279) and primary practice location at 22601-2808. Fawaz is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Fawaz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 251 traditional Medicare patients, billed 740 HCPCS/CPT codes, and received $214,510 in Medicare payments. The top billing code was 22853 (Insertion of cage or mesh device to spine bone and disc space during spine fusion). Part D data shows 14 prescription claims totaling $153 in drug costs. Open Payments data shows 2 records totaling $191. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$107K$215K2023 Medicare payment: $183,509 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $214,510 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023198545$183,509
2024251740$214,510

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$77$1532024 Drug cost: $153 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R14$153

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion3148$183
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more8989$144
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5463$131
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7073$127
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3030$118

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$191Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Charbel Simon Fawaz, MD?

Tedicare shows public-source Medicare data for Charbel Simon Fawaz, MD (NPI 1487375440), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Charbel Simon Fawaz, MD have ACO affiliation data?

Charbel Simon Fawaz, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Charbel Simon Fawaz, MD?

Charbel Simon Fawaz, MD is linked to VALLEY PHYSICIAN ENTERPRISE, INC. (billing NPI 1194387647) in the available physician profile data.

Does Charbel Simon Fawaz, MD have Open Payments data?

Charbel Simon Fawaz, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.