TERI L FALCONER PAC
NPI 1336322874
Physician Assistant in Manahawkin, NJ

Active since December 06, 2007PECOS EnrolledAccepts Medicare Assignment
87.31/100
CMS Quality Rating
1145 BEACON AVE, MANAHAWKIN, NJ 08050(609) 597-7110(609) 597-7113 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Sep 1, 2025, Nov 22, 2023 (3 updates tracked since 2023).

About Teri L Falconer Pac NPPES

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

TERI L FALCONER PAC (NPI 1336322874) is an individual physician assistant in Manahawkin, New Jersey, licensed in New Jersey (25MP00191400) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1336322874
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTERI L FALCONERCredential: PAC
Location Address1145 BEACON AVEManahawkin, NJ 08050-2471
Mailing Address1145 Beacon AveManahawkin, NJ 08050-2471 · (609) 597-7110 · Fax (609) 597-7113
Fax(609) 597-7113
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 6, 2007
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1336322874 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 NJ · 25MP00191400
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.
1145 BEACON AVE, Manahawkin, NJ 08050

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

Teri L Falconer Pac 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 ID6305926445
PECOS Enrollment IDI20080102000465
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 8

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 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.
1,341 services760 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
752 services521 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
320 services314 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.
258 services258 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
144 services137 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.
140 services128 patients

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

87.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40
Cost64.37

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$21.36 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 8

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

Urology
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Urology
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Urology
1145 BEACON AVE, STE A
MANAHAWKIN, NJ 08050
Urology
1145 BEACON AVE, STE A
MANAHAWKIN, NJ 08050
Podiatrist
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Podiatrist (Foot & Ankle Surgery)
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Physician Assistant
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Podiatrist (Primary Podiatric Medicine)
1145 BEACON AVE
MANAHAWKIN, NJ 08050

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 Teri Falconer's NPI number?

The NPI number for Teri Falconer is 1336322874. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Teri Falconer located?

Teri Falconer practices at 1145 Beacon Ave, Manahawkin, NJ 08050. The listed phone number is (609) 597-7110.

What is Teri Falconer's specialty?

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

Is Teri Falconer enrolled in Medicare?

Yes. Teri Falconer 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 Teri Falconer affiliated with any hospitals?

According to CMS data, Teri Falconer is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Teri Falconer was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.