Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RICARDO J FALCON MD
NPI 1326001744
Anesthesiology - Pediatric Anesthesiology in El Paso, TX

Active since April 07, 2006PECOS Enrolled
85.18/100
CMS Quality Rating
4845 ALAMEDA AVE, EL PASO, TX 79905(915) 215-5666(915) 215-5047 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Aug 6, 2025 (2 updates tracked since 2025).

About Dr. Ricardo J Falcon Md NPPES

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

DR. RICARDO J FALCON MD (NPI 1326001744) is an individual pediatric anesthesiology provider in El Paso, Texas, licensed in Texas (V3595) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326001744
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameDR. RICARDO J FALCONCredential: MD
Location Address4845 ALAMEDA AVEEl Paso, TX 79905-2705
Mailing Address933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106-4375 · (505) 272-3120 · Fax (505) 272-8060
Fax(915) 215-5047
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1326001744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in TX · V3595
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 20040124 (NM)
4845 ALAMEDA AVE, El Paso, TX 79905

Secondary Practice Locations 2

Location 11 University of New MexicoAlbuquerque, NM 87131 · Phone (505) 272-2610 · Fax (505) 272-1300
Location 24815 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 215-5666 · Fax (915) 215-5047

Other Identifiers 1

Medicaid93435550NM

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ricardo J Falcon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Ricardo Falcon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
5400 ALAMEDA AVE BLDG B
El Paso, TX 79905
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group

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

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.

Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Nurse Practitioner (Family)
4845 ALAMEDA AVE
EL PASO, TX 79905
Pediatrics (Pediatric Critical Care Medicine)
4845 ALAMEDA AVE
EL PASO, TX 79905
Pediatrics
4845 ALAMEDA AVE
EL PASO, TX 79905
Nurse Practitioner
4845 ALAMEDA AVE
EL PASO, TX 79905
Nurse Anesthetist, Certified Registered
4845 ALAMEDA AVE
EL PASO, TX 79905
Nurse Anesthetist, Certified Registered
4845 ALAMEDA AVE
EL PASO, TX 79905
Hospitalist
4845 ALAMEDA AVE
EL PASO, TX 79905
Student in an Organized Health Care Education/Training Program
4845 ALAMEDA AVE
EL PASO, TX 79905

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 Ricardo Falcon's NPI number?

The NPI number for Ricardo Falcon is 1326001744. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Ricardo Falcon located?

Ricardo Falcon practices at 4845 Alameda Ave, El Paso, TX 79905. The listed phone number is (915) 215-5666.

What is Ricardo Falcon's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Ricardo Falcon enrolled in Medicare?

Yes. Ricardo Falcon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ricardo Falcon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Falcon reassigns Medicare benefits to 4 organizations: El Paso Children's Physician Group (El Paso, TX), Unm Medical Group Inc (Albuquerque, NM), Children's Physician Services Of South Texas (Corpus Christi, TX) and Charleston Area Medical Center, Inc. (Charleston, WV). Each 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 Ricardo Falcon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Falcon accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Ricardo Falcon 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 Ricardo Falcon was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.