DR. ROBERT A JR. DEFALCO (DO) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1174554471
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
917 ORTHOPEDIC SURGERY in NJ
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Provider Addresses for DR. ROBERT A JR. DEFALCO (DO)
108, Bilby Road, Independence Township, Warren County, New Jersey, 07840, United States
SUITE 201
HACKETTSTOWN, NJ 078404174
Phone: (908) 684-3005
Fax: (908) 684-3301
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,728.
Total Amount is formed as General ($1,728) + Research ($0) + Ownership ($0) = $1,728.
Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Arthrex, Inc. ($1,505).
Total Amount
$1,728
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,728
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,505 |
| Seapearl East, Inc | $179 |
| Stryker Corporation | $23 |
| Bioventus LLC | $21 |
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: 2004-08-19
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 |
|---|---|---|---|---|
| I20040819001005 | I | Orthopedic Surgery | NJ | 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 | 578 | 423 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 518 | 362 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 289 | 202 | $0 |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 199 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 145 | 127 | $0 |
Insurance plans in this area (ZIP 07840)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | NJ | 20610 | Aspiration and/or injection of large joint or joint capsule | 278 | 195 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NJ | |
| - | NJ | |
| Physical Medicine And Rehabilitation | NJ | |
| Physician Assistant | NJ | |
| Orthopedic Surgery, Sports Medicine | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Orthopedic Surgery | NJ | |
| Orthopedic Surgery, Sports Medicine | NJ | |
| Physician Assistant | NJ |
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