DR. JOHN FALCON (MD) – Emergency Medicine Physician, NPI 1013981885
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,049 EMERGENCY MEDICINE in SC
Provider Addresses for DR. JOHN FALCON (MD)
PO BOX 277700
ATLANTA, GA 303847700
Phone: (440) 717-6600
Type: Mailing
14 Richland Medical Park Dr Ste 350
Columbia, SC 292036896
Phone: (803) 434-1663
Fax: (803) 434-3894
Type: Location
Spartanburg Medical Center, 101, East Wood Street, Spartanburg, Spartanburg County, South Carolina, 29303, United States
SPARTANBURG, SC 293033040
Phone: (864) 560-4123
Type: Location
PO BOX 743070
ATLANTA, GA 303743070
Phone: (864) 560-4304
Fax: (864) 560-4413
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100728000953 | I | Emergency Medicine | SC | TBD |
| I20240216003029 | I | Emergency Medicine | VT | TBD |
| I20241023001719 | I | Emergency Medicine | TN | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 164 | 162 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 68 | 68 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 49 | 46 | $0 |
| 99291 | Critical care, first 30-74 minutes | 32 | 32 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30384)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | SC | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 332 | 313 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | PA | |
| Emergency Medicine | MI | |
| Emergency Medicine | SC | |
| Emergency Medicine | CA | |
| Emergency Medicine | SC | |
| Nurse Practitioner | FL | |
| - | GA | |
| Emergency Medicine | OH | |
| Emergency Medicine | SC | |
| Emergency Medicine | IL |
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