RONALD WILLIAM FALCON MD
NPI 1053187641
Family Medicine in Old Bridge, NJ

Q: What is Ronald Falcon's NPI number?

The NPI number for Ronald Falcon is 1053187641. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Q: What is Ronald Falcon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Falcon was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since November 27, 2023PECOS Enrolled

2624 HWY 516, OLD BRIDGE, NJ 08857(732) 952-5000(732) 952-5005 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ronald William Falcon Md NPPES

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

RONALD WILLIAM FALCON MD (NPI 1053187641) is an individual family medicine provider in Old Bridge, New Jersey, licensed in New Jersey (25MA12029000) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053187641

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRONALD WILLIAM FALCONCredential: MD

Location Address2624 HWY 516Old Bridge, NJ 08857-2306

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(732) 952-5000

Fax(732) 952-5005

Sole ProprietorNo

Enumeration DateNovember 27, 2023

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1053187641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA12029000

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2624 HWY 516, Old Bridge, NJ 08857

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald William Falcon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Ronald Falcon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Excel Urgent Care Of Nj LLC

0.2 mi

Urgent Care

2624 HIGHWAY 516
Old Bridge, NJ 08857

Reassigned Medicare billing, New Jersey enrollment
68 clinicians in this Medicare group

NPI 1255742243 (732) 952-5000

Hackensack Meridian Urgent Care, PC

11 mi

Urgent Care

315 W MAIN ST
Freehold, NJ 07728

Reassigned Medicare billing, New Jersey enrollment
95 clinicians in this Medicare group

NPI 1285165209 (888) 878-1503

The Radiology Group Of New Jersey, LLC

41 mi

Multi-Specialty

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
429 clinicians in this Medicare group

NPI 1174010540 (908) 979-1621

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 6

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.

331 services293 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.

169 services169 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

76 services73 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

54 services51 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 2

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

DR. RICHARD J SCHALLER MD

Emergency Medicine

2624 HWY 516
OLD BRIDGE, NJ 08857

Middlesex County (732) 952-5000

VLADA E FINCH M.D.

Family Medicine

2624 HWY 516
OLD BRIDGE, NJ 08857

Middlesex County (732) 952-5000

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 Ronald Falcon's NPI number?

The NPI number for Ronald Falcon is 1053187641. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Ronald Falcon located?

Ronald Falcon practices at 2624 Hwy 516, Old Bridge, NJ 08857. The listed phone number is (732) 952-5000.

What is Ronald Falcon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ronald Falcon enrolled in Medicare?

Yes. Ronald Falcon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ronald Falcon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Falcon reassigns Medicare benefits to 3 organizations: Excel Urgent Care Of Nj LLC (Old Bridge, NJ), Hackensack Meridian Urgent Care, PC (Freehold, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). 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 Ronald Falcon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ronald Falcon was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.