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LUCAS FALCO
NPI 1164884573
Emergency Medicine - Pediatric Emergency Medicine in Baltimore, MD

Active since March 24, 2016PECOS Enrolled
1800 ORLEANS ST RM 8446, BLOOMBERG CHILDREN'S CENTER, BALTIMORE, MD 21287(410) 955-6070 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2024, Mar 24, 2016 (2 updates tracked since 2016).

About Lucas Falco NPPES

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

LUCAS FALCO (NPI 1164884573) is an individual pediatric emergency medicine provider in Baltimore, Maryland, licensed in Arizona (58106) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164884573
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameLUCAS FALCO
Location Address1800 ORLEANS ST RM 8446, BLOOMBERG CHILDREN'S CENTERBaltimore, MD 21287-0010
Mailing Address1800 Orleans St Rm 8446, Bloomberg Children's CenterBaltimore, MD 21287-0010 · (410) 955-6070
Phone(410) 955-6070
Sole ProprietorYes
Enumeration DateMarch 24, 2016
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1164884573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in AZ · 58106
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
1800 ORLEANS ST RM 8446, Baltimore, MD 21287
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas Falco 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 Lucas Falco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ies Arizona PLLC
1,974 mi
Emergency Medicine
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 121 clinicians in this Medicare group
NPI 1821752213 (520) 327-5461
District Medical Group, Inc
1,994 mi
Psychiatry
570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1124251020 (480) 344-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

STEPHANIE E GREEN M.D.
Pediatrics
1800 ORLEANS ST RM 8446
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
DR. RIDDHI KAMALNAYAN DESAI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1800 ORLEANS ST RM 8446
BALTIMORE, MD 21287
Baltimore City (410) 955-6070
LAURA MALONE MD, PHD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1800 ORLEANS ST RM 8446
BALTIMORE, MD 21287
Baltimore City (410) 955-2727

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 Lucas Falco's NPI number?

The NPI number for Lucas Falco is 1164884573. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Lucas Falco located?

Lucas Falco practices at 1800 Orleans St Rm 8446 Bloomberg Children's Center, Baltimore, MD 21287. The listed phone number is (410) 955-6070.

What is Lucas Falco's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Lucas Falco enrolled in Medicare?

Yes. Lucas Falco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lucas Falco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Falco reassigns Medicare benefits to 2 organizations: Ies Arizona PLLC (Tucson, AZ) and District Medical Group, Inc (Mesa, AZ). 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 Lucas Falco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Falco accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Lucas Falco 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 Lucas Falco was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.