Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. FRANCIS FALCK M.D., PHD
NPI 1255335113
Ophthalmology in Mystic, CT

Active since June 09, 2005PECOS Enrolled
7.5/100
CMS Quality Rating
35 WASHINGTON ST, MYSTIC, CT 06355(860) 572-2020(860) 572-2000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Francis Falck M.d., Phd NPPES

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

DR. FRANCIS FALCK M.D., PHD (NPI 1255335113) is an individual ophthalmology provider in Mystic, Connecticut, licensed in Connecticut (033284) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1255335113
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. FRANCIS FALCKCredential: M.D., PHD
Location Address35 WASHINGTON STMystic, CT 06355-2816
Mailing Address35 Washington StMystic, CT 06355-2816 · (860) 572-2020 · Fax (860) 572-2000
Fax(860) 572-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1255335113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CT · 033284
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

35 WASHINGTON ST, Mystic, CT 06355

Other Identifiers 7

Other010033284CT01CT · Anthem
Other030336CT · Healthnet
Medicaid001332840CT
Other0461506CT · Aetna
OtherC010105Tricare
OtherNLS077CT · Oxford
Other332840CT · Connecticare

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 Falck M.d., Phd 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 ID2567425861
PECOS Enrollment IDI20101111000654
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 26

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.

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).
613 services519 patients
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.
605 services497 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
512 services499 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
463 services385 patients
Measurement of eye artery pressure 92260
Measurement of eye artery pressure, also known as ocular blood flow, helps assess the amount of blood reaching your eyes. It's crucial for maintaining healthy eyesight. A special device gently touches your eye to measure the pressure. It's a painless, quick procedure.
414 services371 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
409 services372 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

7.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
35 WASHINGTON ST
MYSTIC, CT 06355

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 Falck's NPI number?

The NPI number for Francis Falck is 1255335113. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Francis Falck located?

Francis Falck practices at 35 Washington St, Mystic, CT 06355. The listed phone number is (860) 572-2020.

What is Francis Falck's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Francis Falck enrolled in Medicare?

Yes. Francis Falck 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.

When was this NPI record last updated?

The NPPES record for Francis Falck was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.