DR. FRANCIS JOSEPH FALBO III M.D.
NPI 1255309878
Family Medicine in Stuart, VA
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Francis Joseph Falbo Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
14Medicare enrollment records show Francis Falbo reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eden, NC 27288
- Reassigned Medicare billing, North Carolina enrollment
- 53 clinicians in this Medicare group
Sparta, NC 28675
- Reassigned Medicare billing, North Carolina enrollment
- 36 clinicians in this Medicare group
Jefferson, NC 28640
- Reassigned Medicare billing, North Carolina enrollment
- 61 clinicians in this Medicare group
Beckley, WV 25801
- Reassigned Medicare billing, West Virginia enrollment
- 183 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Tennessee enrollment
- 664 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Alma, GA 31510
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
Waynesboro, TN 38485
- Reassigned Medicare billing, Tennessee enrollment
- 20 clinicians in this Medicare group
Sheffield, AL 35660
- Reassigned Medicare billing, Alabama enrollment
- 69 clinicians in this Medicare group
Haleyville, AL 35565
- Reassigned Medicare billing, Alabama enrollment
- 40 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 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.
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, TNPhysician 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.
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.
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.
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 enrollment system.
Which organizations bill Medicare for Francis Falbo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Francis Falbo reassigns Medicare benefits to 14 organizations: Nc Emergency Physician Services, PLLC (Eden, NC), Alleghany Emergency Group LLC (Sparta, NC), Jefferson Emergency Services, PLLC (Jefferson, NC), Health Care Alliance, Inc. (Beckley, WV), Emergency Coverage, LLC (Newport, TN) and 9 more organizations, listed in the Medicare section above. 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 Francis Falbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 21 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.
# Dr. Francis Joseph Falbo III, M.D. · NPI 1255309878
Family Medicine physician in Stuart, Virginia. Individual provider, active in the CMS NPPES registry since March 9, 2006.
## Identity
- **NPI:** 1255309878 (Entity type: Individual)
- **Enumerated:** March 9, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2012-01433 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2656 LONE IVY RD, Stuart, VA 24171-5370
- **Phone:** (276) 444-0017 · **Fax:** (931) 490-1062
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Nc Emergency Physician Services, PLLC (NPI 1518374800, Eden, NC); Alleghany Emergency Group LLC (NPI 1477840791, Sparta, NC); Jefferson Emergency Services, PLLC (NPI 1720495336, Jefferson, NC); Health Care Alliance, Inc. (NPI 1730128760, Beckley, WV); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** January 14, 2025
- **Other identifiers:** Medicaid 4103938 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1255309878) · Data from the CMS NPPES public registry.