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DR. MIGUEL DE FALCO O.D.
NPI 1285693598
Optometrist in Annapolis, MD

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
169 JENNIFER RD STE D, ANNAPOLIS, MD 21401(410) 224-0021(410) 224-2098 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2019, Jun 27, 2017, Mar 31, 2016 (3 updates tracked since 2016).

About Dr. Miguel De Falco O.d. NPPES

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

DR. MIGUEL DE FALCO O.D. (NPI 1285693598) is an individual optometrist in Annapolis, Maryland, licensed in Maryland (TA2546) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Annapolis, and is a graduate of State University Of New York - State College Optometry (2005).

NPPES Registry Identity

NPI1285693598
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MIGUEL DE FALCOCredential: O.D.
Location Address169 JENNIFER RD STE DAnnapolis, MD 21401
Mailing Address169 Jennifer Rd Ste DAnnapolis, MD 21401-4170 · (410) 224-0021 · Fax (410) 224-2098
Phone(410) 224-0021
Fax(410) 224-2098
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2005
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 12, 20193 updates tracked since enumeration
✔ NPI 1285693598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MD · TA2546✔ Licensed in FL · 4014
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

169 JENNIFER RD STE D, Annapolis, MD 21401
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Secondary Practice Location 1

Location 12002 Medical Pkwy Ste 320Annapolis, MD 21401-7901 · Phone (410) 571-8733 · Fax (410) 571-6309

Other Identifiers 3

Medicaid621106200FL
OtherU7266WFL · Ptan
Medicaid621106201FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Providence Health Plan.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. Miguel De Falco O.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 ID6709895188
PECOS Enrollment IDI20170211000096
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 5

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
64 services64 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.
48 services48 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
29 services29 patients
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.
13 services12 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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 Miguel De Falco's NPI number?

The NPI number for Miguel De Falco is 1285693598. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Miguel De Falco located?

Miguel De Falco practices at 169 Jennifer Rd Ste D, Annapolis, MD 21401. The listed phone number is (410) 224-0021.

What is Miguel De Falco's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Miguel De Falco enrolled in Medicare?

Yes. Miguel De Falco 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 Miguel De Falco accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Miguel De Falco 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.

When was this NPI record last updated?

The NPPES record for Miguel De Falco was last updated on July 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.