JEFFREY J. FALCO MD
NPI 1043702186
Otolaryngology in Spokane Valley, WA

Active since June 05, 2018PECOS Enrolled
90.48/100
CMS Quality Rating
1424 N MCDONALD RD STE 101, SPOKANE VALLEY, WA 99216(509) 928-7272(509) 928-7346 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey J. Falco Md NPPES

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

JEFFREY J. FALCO MD (NPI 1043702186) is an individual otolaryngology provider in Spokane Valley, Washington, licensed in Washington (MD61354419) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043702186
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJEFFREY J. FALCOCredential: MD
Location Address1424 N MCDONALD RD STE 101Spokane Valley, WA 99216-6017
Mailing Address1120 15th StAugusta, GA 30912-0004
Fax(509) 928-7346
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 5, 2018
Last NPPES UpdateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
NPI 1043702186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WA · MD61354419
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1424 N MCDONALD RD STE 101, Spokane Valley, WA 99216

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 (PECOS)

Jeffrey J. Falco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163774282
PECOS Enrollment IDI20230125003225
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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
206 services125 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
126 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
107 services107 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
103 services74 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
53 services42 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
48 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500119
Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40
Cost74.94

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers12 claims12 services$30.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Audiologist
1424 N MCDONALD RD STE 101
SPOKANE VALLEY, WA 99216
Otolaryngology
1424 N MCDONALD RD STE 101
SPOKANE VALLEY, WA 99216
Audiologist
1424 N MCDONALD RD STE 101
SPOKANE VALLEY, WA 99216
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1424 N MCDONALD RD STE 101
SPOKANE VALLEY, WA 99216
Audiologist
1424 N MCDONALD RD STE 101
SPOKANE VALLEY, WA 99216

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 Jeffrey Falco's NPI number?

The NPI number for Jeffrey Falco is 1043702186. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Jeffrey Falco located?

Jeffrey Falco practices at 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216. The listed phone number is (509) 928-7272.

What is Jeffrey Falco's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Falco enrolled in Medicare?

Yes. Jeffrey Falco is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Falco accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeffrey Falco 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 Jeffrey Falco affiliated with any hospitals?

According to CMS data, Jeffrey Falco is affiliated with Deaconess Medical Center and Multicare Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Falco was last updated on October 9, 2023. 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.