EVAN CHARLES DEFALCO (DO) – Family Medicine Physician, NPI 1366184590
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for EVAN CHARLES DEFALCO (DO)
145 HOSPITAL AVE
DU BOIS, PA 158011462
Phone: (814) 371-2200
Fax: (814) 375-2573
Type: Location
100 HOSPITAL AVE
DU BOIS, PA 158011440
Phone: (814) 375-2200
Fax: (814) 375-2484
Type: Mailing
447 W MAIN ST
MONONGAHELA, PA 150632564
Phone: (724) 258-2070
Fax: (724) 258-3582
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Ardelyx, Inc. ($30).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ardelyx, Inc. | $30 |
| Vapotherm Inc | $14 |
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: 2025-12-15
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 |
|---|---|---|---|---|
| I20251215000258 | I | Family Practice | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 15801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| - | IL | |
| - | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Family Practice, Sports Medicine | PA | |
| Nurse Practitioner | PA |
Reviews
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