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DR. PAMELA FALCON
NPI 1124680764
Family Medicine in Green Bay, WI

Active since July 03, 2019PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
102 N WASHINGTON ST, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2022, Dec 20, 2021, Dec 10, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Pamela Falcon NPPES

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

DR. PAMELA FALCON (NPI 1124680764) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (74296-20) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124680764
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAMELA FALCON
Location Address102 N WASHINGTON STGreen Bay, WI 54301-4209
Mailing Address102 N Washington StGreen Bay, WI 54301-4209 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 3, 2019
Last NPPES UpdateSeptember 29, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1124680764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 74296-20
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.
102 N WASHINGTON ST, Green Bay, WI 54301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.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. Pamela Falcon 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 ID7618202680
PECOS Enrollment IDI20220818001487
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services22 patients
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.
40 services25 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.
30 services21 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Durable Medical Equipment & Medical Supplies
102 N WASHINGTON ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
JESSICA R MCDONALD APNP
Nurse Practitioner (Primary Care)
102 N WASHINGTON ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
TORI FOX APNP
Nurse Practitioner (Family)
102 N WASHINGTON ST
GREEN BAY, WI 54301
Brown County (920) 496-4700

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 Pamela Falcon's NPI number?

The NPI number for Pamela Falcon is 1124680764. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Pamela Falcon located?

Pamela Falcon practices at 102 N Washington St, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Pamela Falcon's specialty?

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

Is Pamela Falcon enrolled in Medicare?

Yes. Pamela 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 Pamela Falcon accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Pamela 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 Pamela Falcon affiliated with any hospitals?

According to CMS data, Pamela Falcon is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Pamela Falcon was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.