DR. JOHN FALCON MD
NPI 1013981885
Emergency Medicine in Spartanburg, SC
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
16Medicare enrollment records show John Falcon reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spartanburg, SC 29306
- Reassigned Medicare billing, South Carolina enrollment
- 413 clinicians in this Medicare group
Greer, SC 29650
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Greenville, SC 29615
- Reassigned Medicare billing, South Carolina enrollment
- 735 clinicians in this Medicare group
Columbia, SC 29212
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 clinicians in this Medicare group
Aiken, SC 29801
- Reassigned Medicare billing, South Carolina enrollment
- 187 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Tennessee enrollment
- 664 clinicians in this Medicare group
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 160 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, SCBaptist Memorial Hospital Tipton
Acute Care Hospitals · Covington, TNTristar Hendersonville Medical Center
Acute Care Hospitals · Hendersonville, TNPhysician 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.
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.
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.
Which organizations bill Medicare for John Falcon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Falcon reassigns Medicare benefits to 16 organizations: Prisma Health-Upstate (Spartanburg, SC), Prisma Health University Medical Group (Greer, SC), Greenville Health System (Greenville, SC), Prisma Health Medical Group-Midlands (Columbia, SC), Sound Physicians Emergency Medicine Of South Carolina LLC (Aiken, SC) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Falcon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Falcon accept?
Health plans from Oscar Insurance Company 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, Baptist Memorial Hospital Tipton and Tristar Hendersonville Medical Center.
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.
# Dr. John Falcon, MD · NPI 1013981885
Emergency Medicine physician in Spartanburg, South Carolina. Individual provider, active in the CMS NPPES registry since February 16, 2006.
## Identity
- **NPI:** 1013981885 (Entity type: Individual)
- **Enumerated:** February 16, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 18217 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E WOOD ST, Spartanburg, SC 29303-3040
- **Phone:** (864) 560-4123
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Prisma Health-Upstate (NPI 1629432869, Spartanburg, SC); Prisma Health University Medical Group (NPI 1003619313, Greer, SC); Greenville Health System (NPI 1184049041, Greenville, SC); Prisma Health Medical Group-Midlands (NPI 1003307166, Columbia, SC); Sound Physicians Emergency Medicine Of South Carolina LLC (NPI 1730636168, Aiken, SC); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** March 19, 2024
- **Other identifiers:** Medicaid T21802 (SC); Medicaid 0017280500003 (PA); Medicaid 5921277 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1013981885) · Data from the CMS NPPES public registry.