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RICHARD A FALCONE JR. MD
NPI 1144300237
Surgery - Pediatric Surgery in Cincinnati, OH

Active since October 16, 2006PECOS Enrolled
3333 BURNET AVE, ML 2023, CINCINNATI, OH 45229(513) 636-4371(513) 636-7657 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard A Falcone Jr. Md NPPES

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

RICHARD A FALCONE JR. MD (NPI 1144300237) is an individual pediatric surgery provider in Cincinnati, Ohio, licensed in Ohio (35.072270) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144300237
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameRICHARD A FALCONE JR.Credential: MD
Location Address3333 BURNET AVE, ML 2023Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Ml 5021Cincinnati, OH 45229-3026 · (513) 636-4225 · Fax (513) 636-2511
Phone(513) 636-4371
Fax(513) 636-7657
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateDecember 13, 2018
✔ NPI 1144300237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in OH · 35.072270✔ Licensed in ND · 12638✔ Licensed in KY · 39265
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
3333 BURNET AVE, Cincinnati, OH 45229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard A Falcone Jr. 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

2

Medicare enrollment records show Richard Falcone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 110 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
University Of Kentucky
75 mi
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Richard Falcone's NPI number?

The NPI number for Richard Falcone is 1144300237. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Richard Falcone located?

Richard Falcone practices at 3333 Burnet Ave Ml 2023, Cincinnati, OH 45229. The listed phone number is (513) 636-4371.

What is Richard Falcone's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Richard Falcone enrolled in Medicare?

Yes. Richard Falcone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Falcone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Falcone reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and University Of Kentucky (Lexington, KY). 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 Richard Falcone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Falcone accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Richard Falcone 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.

When was this NPI record last updated?

The NPPES record for Richard Falcone was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.