Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL FALCAO DO
NPI 1215229133
Psychiatry & Neurology - Neurology in Richmond, VA

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
417 N 11TH ST, RICHMOND, VA 23298(804) 828-9350(804) 828-8965 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel Falcao Do NPPES

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

DANIEL FALCAO DO (NPI 1215229133) is an individual neurology provider in Richmond, Virginia, licensed in Virginia (0102203691) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215229133
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDANIEL FALCAOCredential: DO
Location Address417 N 11TH STRichmond, VA 23298-5024
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 828-9350 · Fax (804) 828-8965
Fax(804) 828-8965
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateOctober 16, 2026
NPPES CertifiedOctober 16, 2026
✔ NPI 1215229133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in VA · 0102203691
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
417 N 11TH ST, Richmond, VA 23298

Secondary Practice Locations 3

Location 1618 Hospital RdTappahannock, VA 22560-5000 · Phone (804) 443-6282 · Fax (804) 443-6051
Location 22 Tampa General Cir Fl 6, Department of Neurology University of South FloridaTampa, FL 33606-3603 · Phone (813) 259-8577 · Fax (813) 259-8551
Location 311958 W Broad StHenrico, VA 23233-1007 · Phone (804) 828-9350 · Fax (804) 828-8965

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Falcao Do 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 ID1850531443
PECOS Enrollment IDI20160901001969
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 Reassignment

Medicare enrollment records show Daniel Falcao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services27 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
32 services32 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.
21 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

Nurse Practitioner (Acute Care)
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Orthopaedic Surgery
417 N 11TH ST
RICHMOND, VA 23298

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 Daniel Falcao's NPI number?

The NPI number for Daniel Falcao is 1215229133. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Daniel Falcao located?

Daniel Falcao practices at 417 N 11th St, Richmond, VA 23298. The listed phone number is (804) 828-9350.

What is Daniel Falcao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Daniel Falcao enrolled in Medicare?

Yes. Daniel Falcao 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.

Which organization bills Medicare for Daniel Falcao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Falcao reassigns Medicare benefits to Mcv Associated Physicians (Richmond, VA). The 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 Daniel Falcao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Falcao accept?

Health plans from Oscar Health list Daniel Falcao 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 Daniel Falcao affiliated with any hospitals?

According to CMS data, Daniel Falcao is affiliated with Medical College Of Virginia Hospitals and Vcu Health Tappahannock Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Falcao was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.