JEFFREY J. FALCO (MD) – Otolaryngology Physician, NPI 1043702186

JEFFREY J. FALCO (MD) is a healthcare provider. based in Augusta, Georgia. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD61354419 (WA). The NPI Number for JEFFREY J. FALCO (MD) is 1043702186

Main info

Male
8 Years Of Experience
Name
JEFFREY J. FALCO (MD)
NPI
1043702186
Phone
(706) 721-7005
Address
1120 15TH ST
Enumeration Date
5 June 2018
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099287272
Graduation Year
2018 (8 years ago)
PAC ID
2163774282
Group Practice PAC ID
3971491259
Professional Enrollment ID
I20230125003225
Address ID
WA992161088SP1424XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in GA

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Provider Addresses for JEFFREY J. FALCO (MD)

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-7005

    Type: Location

  • 1424 N MCDONALD RD STE 101

    SPOKANE VALLEY, WA 992166017

    Phone: (509) 928-7272

    Fax: (509) 928-7346

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $367.

Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Stryker Corporation ($132).

Total Amount

$367

General + Research + Ownership

Payments

8

Total payment records

General Amount

$367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230125003225IOtolaryngologyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes9470$0
69210Removal of impacted ear wax6459$0
99203New patient office or other outpatient visit, 30-44 minutes5959$0
99213Established patient office or other outpatient visit, 20-29 minutes4036$0
99202New patient office or other outpatient visit, 15-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971491259View full group profile
NameSpecialtyState
-WA
Plastic And Reconstructive Surgery, OtolaryngologyWA
O T O L A R Y N G O L O G YWA
O T O L A R Y N G O L O G YWA
Qualified AudiologistWA
O T O L A R Y N G O L O G YWA
Qualified AudiologistWA
Qualified AudiologistWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEFFREY J. FALCO (MD)?
JEFFREY J. FALCO (MD) — NPI 1043702186 — is the standard way to identify this listing.
Does the file indicate JEFFREY J. FALCO (MD) is practicing under active NPI?
Directory data currently reports JEFFREY J. FALCO (MD) as active.
What taxonomy line describes JEFFREY J. FALCO (MD)?
For research purposes, treat JEFFREY J. FALCO (MD) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JEFFREY J. FALCO (MD) based?
JEFFREY J. FALCO (MD) is tied to Augusta, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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