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DR. CLAYTON LEE FALKNOR MD
NPI 1164625018
Ophthalmology - Cornea and External Diseases Specialist in Colorado Springs, CO

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
96.76/100
CMS Quality Rating
2770 N UNION BLVD, SUITE #240, COLORADO SPRINGS, CO 80909(719) 471-2020(719) 633-7379 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clayton Lee Falknor Md NPPES

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

DR. CLAYTON LEE FALKNOR MD (NPI 1164625018) is an individual cornea and external diseases specialist in Colorado Springs, Colorado, licensed in Colorado (DR.0053681) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2006).

NPPES Registry Identity

NPI1164625018
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameDR. CLAYTON LEE FALKNORCredential: MD
Location Address2770 N UNION BLVD, SUITE #240Colorado Springs, CO 80909-1120
Mailing Address2770 N Union Blvd, Suite #240Colorado Springs, CO 80909-1120 · (719) 471-2020 · Fax (719) 633-7379
Phone(719) 471-2020
Fax(719) 633-7379
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2006
Enumeration DateJune 7, 2007
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1164625018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License✔ Licensed in CO · DR.0053681
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
Also ListedOphthalmologyTaxonomy 207W00000X · License N6866 (TX), DR.0053681 (CO)
2770 N UNION BLVD, Colorado Springs, CO 80909
Open in Google Maps ↗

Other Identifiers 1

Medicaid281037601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence 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. Clayton Lee Falknor Md 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 ID8527118231
PECOS Enrollment IDI20141001000162
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 16

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
598 services577 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.
243 services167 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
165 services100 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.
155 services143 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
142 services88 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
133 services129 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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.

96.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost89.2

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.

DR. DEAN WILLIAM CARLSON M.D.
Ophthalmology
2770 N UNION BLVD, SUITE 240
COLORADO SPRINGS, CO 80909
El Paso County (719) 471-2020
DR. STEVEN DEWEY MD
Ophthalmology
2770 N UNION BLVD, SUITE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 632-3547
DR. JAMES K LUU M.D.
Ophthalmology (Retina Specialist)
2770 N UNION BLVD, SUITE 140
COLORADO SPRINGS, CO 80909
El Paso County (719) 473-9595
MRS. MARTA L HOLLEY O.D.
Optometrist
2770 N UNION BLVD, SUITE 240
COLORADO SPRINGS, CO 80909
El Paso County (719) 471-2020
FACIAL ASSOCIATES OF COLORADO FOR EMERGENCY SERVICES, PLLC
Surgery (Trauma Surgery)
2770 N UNION BLVD, 100
COLORADO SPRINGS, CO 80909
El Paso County (719) 329-0040
RONALD W PELTON MD PHD PC
Ophthalmology
2770 N UNION BLVD, SUITE 100
COLORADO SPRINGS, CO 80909
El Paso County (719) 329-0040
DR. SCOTT M SMETANA M.D.
Ophthalmology
2770 N UNION BLVD, SUITE 240
COLORADO SPRINGS, CO 80909
El Paso County (719) 471-2020
DR. JONATHAN GERALD WILLIAMS M.D.
Ophthalmology (Retina Specialist)
2770 N UNION BLVD, SUITE 140
COLORADO SPRINGS, CO 80909
El Paso County (719) 473-9595

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 Clayton Falknor's NPI number?

The NPI number for Clayton Falknor is 1164625018. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Clayton Falknor located?

Clayton Falknor practices at 2770 N Union Blvd Suite #240, Colorado Springs, CO 80909. The listed phone number is (719) 471-2020.

What is Clayton Falknor's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Clayton Falknor enrolled in Medicare?

Yes. Clayton Falknor 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 Clayton Falknor accept?

Health plans from Providence Health Plan list Clayton Falknor 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 Clayton Falknor was last updated on January 24, 2019. 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.