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DR. FRANCIS JOSEPH FALBO III M.D.
NPI 1255309878
Family Medicine in Stuart, VA

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
91.22/100
CMS Quality Rating
2656 LONE IVY RD, STUART, VA 24171(276) 444-0017(931) 490-1062 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2020, Jan 8, 2020 (2 updates tracked since 2020).

About Dr. Francis Joseph Falbo Iii M.d. NPPES

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

DR. FRANCIS JOSEPH FALBO III M.D. (NPI 1255309878) is an individual family medicine provider in Stuart, Virginia, licensed in North Carolina (2012-01433) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Tennessee Regional Health System Lawrence, and maintains a secondary practice location in Eden.

NPPES Registry Identity

NPI1255309878
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRANCIS JOSEPH FALBO IIICredential: M.D.
Location Address2656 LONE IVY RDStuart, VA 24171-5370
Mailing AddressPo Box 5Woolwine, VA 24185-0005 · (276) 444-0017
Phone(276) 444-0017
Fax(931) 490-1062
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1995
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1255309878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2012-01433✔ Licensed in VA · 0101249176✔ Licensed in TN · 30140
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 42242 (KY), 30140 (TN), 2012-01433 (NC), 18622 (WV)
2656 LONE IVY RD, Stuart, VA 24171
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Secondary Practice Location 1

Location 1117 E Kings HwyEden, NC 27288-5201 · Phone (336) 623-6724

Other Identifiers 1

Medicaid4103938TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company.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. Francis Joseph Falbo Iii M.d. 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 ID749228906
PECOS Enrollment IDI20050419001238, I20201029001025
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
218 services210 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
169 services162 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24171 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

91.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.7
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Francis Falbo's NPI number?

The NPI number for Francis Falbo is 1255309878. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Francis Falbo located?

Francis Falbo practices at 2656 Lone Ivy Rd, Stuart, VA 24171. The listed phone number is (276) 444-0017.

What is Francis Falbo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Francis Falbo enrolled in Medicare?

Yes. Francis Falbo 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 Francis Falbo accept?

Health plans from Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Francis Falbo 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 Francis Falbo affiliated with any hospitals?

According to CMS data, Francis Falbo is affiliated with Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Francis Falbo was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.