DR. JAMES ANTONIO FALCON (M.D.) – Family Medicine Physician, NPI 1144480815
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
448 GENERAL PRACTICE in TX
Provider Addresses for DR. JAMES ANTONIO FALCON (M.D.)
3851 ROGER BROOKE DR
MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-2460
Fax: (210) 916-5102
Type: Location
149, Newington Way, Aberdeen, Moore County, North Carolina, 28315, United States
ABERDEEN, NC 283152229
Phone: (956) 499-3656
Type: Mailing
2768 PHARMACY RD
RIO GRANDE CITY, TX 785826201
Phone: (956) 487-5621
Fax: (956) 487-5862
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $7,492.
Total Amount is formed as General ($94) + Research ($7,397) + Ownership ($0) = $7,492.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Eli Lilly and Company ($7,397).
Total Amount
$7,492
General + Research + Ownership
Payments
7
Total payment records
General Amount
$94
General payments
Research Amount
$7,397
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eli Lilly and Company | $7,397 |
| Lilly USA, LLC | $31 |
| Nevro Corp. | $22 |
| ABBVIE INC. | $22 |
| Dexcom, Inc. | $20 |
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: 2021-06-17
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 |
|---|---|---|---|---|
| I20210617001203 | I | General Practice | TX | 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 | 76 | 76 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Family Practice, Emergency Medicine | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
Reviews
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