DR. CHRISTOPHER ALAN DEFALCO M.D.
NPI 1306101092
Orthopaedic Surgery - Sports Medicine in Indianapolis, IN

Q: What is Christopher Defalco's NPI number?

The NPI number for Christopher Defalco is 1306101092. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Q: What is Christopher Defalco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment

1400 N RITTER AVE STE 351, INDIANAPOLIS, IN 46219(317) 355-7375(317) 355-9215 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2023, Sep 17, 2020, Aug 16, 2018 and 3 more (6 updates tracked since 2017).

On this page

About Dr. Christopher Alan Defalco M.d. NPPES

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

DR. CHRISTOPHER ALAN DEFALCO M.D. (NPI 1306101092) is an individual sports medicine provider in Indianapolis, Indiana, licensed in Indiana (01079933A) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306101092

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. CHRISTOPHER ALAN DEFALCOCredential: M.D.

Location Address1400 N RITTER AVE STE 351Indianapolis, IN 46219

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890

Phone(317) 355-7375

Fax(317) 355-9215

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 9, 2012

Last NPPES UpdateJune 13, 20236 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1306101092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in IN · 01079933A

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01079933A (IN)

1400 N RITTER AVE STE 351, Indianapolis, IN 46219

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Secondary Practice Locations 2

Location 18100 Northland DrBloomington, MN 55431-4800 · Phone (952) 831-8742

Location 2541 Clinical Dr, Suite 600Indianapolis, IN 46202-5233 · Phone (317) 274-3291

Other Identifiers 1

Medicaid300015839IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Christopher Alan Defalco M.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 ID6002052636

PECOS Enrollment IDI20180807001685

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.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Defalco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Physicians Of Indiana Inc

7.0 mi

Family Medicine

7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256

Reassigned Medicare billing, Indiana enrollment
2,087 clinicians in this Medicare group

NPI 1619105244 (317) 355-5555

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 13

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

165 services116 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

145 services114 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.

139 services106 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.

131 services131 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

99 services82 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

86 services67 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

23 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

22 services19 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

20 services16 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

19 services18 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150128

Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County

Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

ALLISON RILEY ATC

Specialist/Technologist (Athletic Trainer)

1400 N RITTER AVE STE 351
INDIANAPOLIS, IN 46219

Marion County (317) 355-0635

DR. RYAN CHRISTOPHER HART M.D.

Orthopaedic Surgery (Hand Surgery)

1400 N RITTER AVE STE 351
INDIANAPOLIS, IN 46219

Marion County (317) 355-7375

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 Christopher Defalco's NPI number?

The NPI number for Christopher Defalco is 1306101092. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Christopher Defalco located?

Christopher Defalco practices at 1400 N Ritter Ave Ste 351, Indianapolis, IN 46219. The listed phone number is (317) 355-7375.

What is Christopher Defalco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Christopher Defalco enrolled in Medicare?

Yes. Christopher Defalco 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.

Which organization bills Medicare for Christopher Defalco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Defalco reassigns Medicare benefits to Community Physicians Of Indiana Inc (Indianapolis, IN). The 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 Christopher Defalco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christopher Defalco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Christopher Defalco 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 Christopher Defalco affiliated with any hospitals?

According to CMS data, Christopher Defalco is affiliated with Community Hospital East, Community Hospital South, Inc. and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Christopher Defalco was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.