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SANDY J FALCON PA-C
NPI 1275619033
Physician Assistant in Boston, MA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
88 E NEWTON ST, BOSTON, MA 02118(617) 638-8413(617) 638-8607 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandy J Falcon Pa-c NPPES

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

SANDY J FALCON PA-C (NPI 1275619033) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA3745) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1275619033
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDY J FALCONCredential: PA-C
Location Address88 E NEWTON STBoston, MA 02118-2308
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371
Phone(617) 638-8413
Fax(617) 638-8607
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 27, 2006
Last NPPES UpdateApril 27, 2015
✔ NPI 1275619033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA3745
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
88 E NEWTON ST, Boston, MA 02118
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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

Sandy J Falcon Pa-c 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 ID3476520164
PECOS Enrollment IDI20090415000166
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 3

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier19 claims472 services$11.35 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
1 supplier19 claims103 services$322.73 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier19 claims98 services$8.08 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier19 claims103 services$25.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STEPHANIE L REDMOND PA-C
Physician Assistant
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-8413
TRUSTEES OF BOSTON UNIVERSITY
Dentist (Oral and Maxillofacial Surgery)
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (866) 390-1815
INDEPENDENCE RADIOLOGY ASSOCIATES, PC
Radiology (Diagnostic Radiology)
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-6610
YE M TUN M.D
Internal Medicine (Nephrology)
88 E NEWTON ST, BOSTON MEDICAL CENTER
BOSTON, MA 02118
Suffolk County (617) 638-7322
ALEXANDER MARK DEKEL M.D.
Anesthesiology
88 E NEWTON ST, ROOM 2817A
BOSTON, MA 02118
Suffolk County (617) 638-6975
BOSTON UNIVERSITY CARDIAC & THORACIC SURGICAL FOUNDATION, INC.
General Acute Care Hospital
88 E NEWTON ST, ROBINSON B402
BOSTON, MA 02118
Suffolk County (617) 638-7350
DR. PAVAN M SEKHAR MD
Anesthesiology
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. LINDSAY ARNOLD PHARM D
Pharmacist (Pharmacotherapy)
88 E NEWTON ST, DEPARTMENT OF PHARMACY H2606
BOSTON, MA 02118
Suffolk County (617) 638-7598

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 Sandy Falcon's NPI number?

The NPI number for Sandy Falcon is 1275619033. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Sandy Falcon located?

Sandy Falcon practices at 88 E Newton St, Boston, MA 02118. The listed phone number is (617) 638-8413.

What is Sandy Falcon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sandy Falcon enrolled in Medicare?

Yes. Sandy Falcon 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.

Is Sandy Falcon affiliated with any hospitals?

According to CMS data, Sandy Falcon is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Sandy Falcon was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.