CARL L FALCONE (MD) – Otolaryngology Physician, NPI 1801954144
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
732 OTOLARYNGOLOGY in FL
Provider Addresses for CARL L FALCONE (MD)
5153 N 9th Ave
Pensacola, FL 325048785
Phone: (850) 505-4700
Fax: (850) 505-4711
Type: Location
60 COMMERCIAL ST STE 401
CONCORD, NH 033015096
Phone: (603) 789-9150
Fax: (603) 227-7592
Type: Location
194, Pleasant Street, West End, Concord, Merrimack County, New Hampshire, 03301, United States
SUITE 2
CONCORD, NH 03301
Phone: (603) 224-2353
Fax: (603) 226-0727
Type: Mailing
Wendy's, 5153, North 9th Avenue, Cordova Mall, Pensacola, Escambia County, Florida, 32504, United States
PENSACOLA, FL 325048785
Phone: (850) 505-4700
Fax: (850) 505-4711
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Genentech USA, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230104002689 | I | Otolaryngology | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 50 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 17 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 32504)
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