DR. JOHN FALCON MD
NPI 1013981885
Emergency Medicine in Spartanburg, SC

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-4123 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Dec 29, 2020 (2 updates tracked since 2020).

About Dr. John Falcon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN FALCON MD (NPI 1013981885) is an individual emergency medicine provider in Spartanburg, South Carolina, licensed in South Carolina (18217) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Aiken Regional Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1013981885
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN FALCONCredential: MD
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1988
Enumeration DateFebruary 16, 2006
Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
NPI 1013981885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in SC · 18217 Licensed in PA · MD067002L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
101 E WOOD ST, Spartanburg, SC 29303

Other Names 1

Professional Name (2)Dr. John Gary Falcon

Secondary Practice Location 1

Location 114 Richland Medical Park Dr Ste 350Columbia, SC 29203-6896 · Phone (803) 434-1663 · Fax (803) 434-3894

Other Identifiers 3

MedicaidT21802SC
Medicaid0017280500003PA
Medicaid5921277NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Falcon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204969272
PECOS Enrollment IDI20100728000953, I20241023001719
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
247 services242 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
81 services79 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Falcon's NPI number?

The NPI number for John Falcon is 1013981885. It was assigned to this individual provider in the NPPES registry on February 16, 2006. The provider is also known as Dr. John Gary Falcon.

Where is John Falcon located?

John Falcon practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-4123.

What is John Falcon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Falcon enrolled in Medicare?

Yes. John Falcon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Falcon accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list John Falcon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Falcon affiliated with any hospitals?

According to CMS data, John Falcon is affiliated with Aiken Regional Medical Center, Mcleod Loris Hospital and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for John Falcon was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.