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DR. JOHN NICHOLAS FALCONE M.D.
NPI 1144682568
Internal Medicine - Endocrinology, Diabetes & Metabolism in New York, NY

Active since March 24, 2016Opted out of Medicare · through May 1, 2027
215 E 68TH ST OFC 8, NEW YORK, NY 10065(212) 288-2869(646) 304-6219 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 28, 2024, Mar 24, 2016 (2 updates tracked since 2016).

About Dr. John Nicholas Falcone M.d. NPPES

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

DR. JOHN NICHOLAS FALCONE M.D. (NPI 1144682568) is an individual endocrinology, diabetes & metabolism provider in New York, New York, licensed in New York (310425) and active in the NPI registry since March 2016. He has opted out of Medicare through May 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144682568
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JOHN NICHOLAS FALCONECredential: M.D.
Location Address215 E 68TH ST OFC 8New York, NY 10065-5718
Mailing Address215 E 68th St Ofc 8New York, NY 10065-5718 · (212) 288-2869 · Fax (646) 304-6219
Phone(212) 288-2869
Fax(646) 304-6219
Sole ProprietorNo
Enumeration DateMarch 24, 2016
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1144682568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 310425
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
215 E 68TH ST OFC 8, New York, NY 10065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Nicholas Falcone M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2023 through May 1, 2027.

Opt-Out Effective DateMay 1, 2023
Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers12 claims12 services$186.43 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

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

DMC NUTRITION LLC
Dietitian, Registered
215 E 68TH ST OFC 8
NEW YORK, NY 10065
New York County (516) 728-6261

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 John Falcone's NPI number?

The NPI number for John Falcone is 1144682568. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is John Falcone located?

John Falcone practices at 215 E 68th St Ofc 8, New York, NY 10065. The listed phone number is (212) 288-2869.

What is John Falcone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is John Falcone enrolled in Medicare?

No. John Falcone has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Falcone was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.