RODRIC D FALCON NP
NPI 1063785350
Nurse Practitioner - Psychiatric/Mental Health in Englewood, CO

Active since February 16, 2012PECOS EnrolledAccepts Medicare Assignment
61.81/100
CMS Quality Rating
8835 AMERICAN WAY, ENGLEWOOD, CO 80112(720) 643-4300 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rodric D Falcon Np NPPES

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

RODRIC D FALCON NP (NPI 1063785350) is an individual psychiatric/mental health provider in Englewood, Colorado, licensed in Colorado (0990268) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063785350
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRODRIC D FALCONCredential: NP
Location Address8835 AMERICAN WAYEnglewood, CO 80112-7056
Mailing Address8565 South Poplar WayLittleton, CO 80130-5861 · (720) 348-2827 · Fax (720) 348-2803
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 16, 2012
Last NPPES UpdateApril 26, 2018
NPI 1063785350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CO · 0990268
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN0172889 (CO)
8835 AMERICAN WAY, Englewood, CO 80112

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

Rodric D Falcon Np 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 ID9234367400
PECOS Enrollment IDI20140115000468, I20160323001111
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 2024 & 2026 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services19 patients
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.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80112 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

61.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.38
Promoting Interoperability0
Improvement Activities40
Cost100

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,257 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 0% · 718 patients
1%718 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Psychiatric/Mental Health)
8835 AMERICAN WAY
ENGLEWOOD, CO 80112
Counselor (Mental Health)
8835 AMERICAN WAY
ENGLEWOOD, CO 80112
Psychiatry & Neurology (Psychiatry)
8835 AMERICAN WAY
ENGLEWOOD, CO 80112
Psychiatric Hospital
8835 AMERICAN WAY
ENGLEWOOD, CO 80112
Social Worker (Clinical)
8835 AMERICAN WAY
ENGLEWOOD, CO 80112
Nurse Practitioner (Psychiatric/Mental Health)
8835 AMERICAN WAY
ENGLEWOOD, CO 80112
Nurse Practitioner (Psychiatric/Mental Health)
8835 AMERICAN WAY
ENGLEWOOD, CO 80112
Clinical Nurse Specialist (Psychiatric/Mental Health)
8835 AMERICAN WAY
ENGLEWOOD, CO 80112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063785350, enumerated as an "individual" on February 16, 2012.

The provider is located at 8835 AMERICAN WAY ENGLEWOOD, CO 80112 and the phone number is (720) 643-4300.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to verify.