DR. RICHARD CHARLES FALKENSTEIN II M.D.
NPI 1285736603
Family Medicine in Middleburg, VA

Q: What is Richard Falkenstein's NPI number?

The NPI number for Richard Falkenstein is 1285736603. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Q: What is Richard Falkenstein's specialty?

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

Q: Is Richard Falkenstein enrolled in Medicare?

No. Richard Falkenstein has opted out of Medicare through December 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since September 05, 2006Opted out of Medicare · through Dec 12, 2027CLIA 49D0223104 · Microscopy

14 SOUTH MADISON STREET, MIDDLEBURG, VA 20117(540) 687-5055(540) 687-5060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Richard Charles Falkenstein Ii M.d. NPPES

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

DR. RICHARD CHARLES FALKENSTEIN II M.D. (NPI 1285736603) is an individual family medicine provider in Middleburg, Virginia, licensed in Virginia (0101042206) and active in the NPI registry since September 2006. He has opted out of Medicare through December 12, 2027 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1285736603

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RICHARD CHARLES FALKENSTEIN IICredential: M.D.

Location Address14 SOUTH MADISON STREETMiddleburg, VA 20117-0279

Mailing AddressPo Box 470Middleburg, VA 20118-0470 · (540) 687-5055 · Fax (540) 687-5060

Phone(540) 687-5055

Fax(540) 687-5060

Sole ProprietorYes

Enumeration DateSeptember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285736603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101042206

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.

14 SOUTH MADISON STREET, Middleburg, VA 20117

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Other Identifiers 1

Medicare UPINB06778

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Richard Charles Falkenstein Ii M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 12, 2013 through December 12, 2027.

Opt-Out Effective DateDecember 12, 2013

Opt-Out In Effect ThroughDecember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0223104

Richard C Falkenstein MD · Middleburg, VA

Active · expires Aug 31, 2026

CLIA Number49D0223104

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorRichard C. Falkenstein

Laboratory Phone(703) 687-5055

Laboratory LocationRichard C Falkenstein MD14 S Madison St Box 470, Middleburg, VA 22117

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20117 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims22 services$5.39 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 Richard Falkenstein's NPI number?

The NPI number for Richard Falkenstein is 1285736603. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Richard Falkenstein located?

Richard Falkenstein practices at 14 South Madison Street, Middleburg, VA 20117. The listed phone number is (540) 687-5055.

What is Richard Falkenstein's specialty?

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

Is Richard Falkenstein enrolled in Medicare?

No. Richard Falkenstein has opted out of Medicare through December 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Richard Falkenstein hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0223104) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Richard Falkenstein was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.