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LISA F. FALCON M.D.
NPI 1427097526
Radiology - Diagnostic Radiology in Flemington, NJ

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
54.18/100
CMS Quality Rating
312 WALTER E FORAN BLVD, FLEMINGTON, NJ 08822(908) 782-4700(908) 782-3785 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Sep 1, 2020, Aug 29, 2020 (3 updates tracked since 2020).

About Lisa F. Falcon M.d. NPPES

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

LISA F. FALCON M.D. (NPI 1427097526) is an individual diagnostic radiology provider in Flemington, New Jersey, licensed in New Jersey (MA04397700) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boca Raton, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1427097526
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLISA F. FALCONCredential: M.D.
Location Address312 WALTER E FORAN BLVDFlemington, NJ 08822-4663
Mailing Address26 Polktown RdHampton, NJ 08827-4007 · (908) 310-6046
Phone(908) 782-4700
Fax(908) 782-3785
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJune 5, 2006
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1427097526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NJ · MA04397700✔ Licensed in FL · ME181418
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
312 WALTER E FORAN BLVD, Flemington, NJ 08822
Open in Google Maps ↗

Secondary Practice Location 1

Location 18903 Glades Rd Ste H1Boca Raton, FL 33434-4023 · Phone (561) 361-7872 · Fax (561) 361-7873

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Oscar Health Maintenance Organization of Florida.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

Lisa F. Falcon 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 ID5193612372
PECOS Enrollment IDI20050713000280
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

16

Medicare enrollment records show Lisa Falcon reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Associates Of Hackettstown LLC
22 mi
Radiology
57 ROUTE 46, SUITE 212
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
NPI 1407069925 (908) 979-1621
Mri Associates Of Hackettstown LLC
24 mi
Magnetic Resonance Imaging (MRI)
657 WILLOW GROVE ST, SUITE 205
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1528394921 (908) 979-1621
The Radiology Group Of New Jersey, LLC
24 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621
East Brunswick Open Upright Mri LLC
24 mi
Radiology
620 CRANBURY RD
East Brunswick, NJ 08816
  • Reassigned Medicare billing, New Jersey enrollment
  • 42 clinicians in this Medicare group
NPI 1689619546 (732) 698-1717
95 Madison Imaging Center At Morristown Inc
28 mi
Radiology
95 MADISON AVE STE B02
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 41 clinicians in this Medicare group
NPI 1356692925 (973) 984-1111
Richard J Claps M.D. & Associates P.A.
28 mi
Radiology
95 MADISON AVE STE B03
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Richard J Claps MD & Associates PA
  • 53 clinicians in this Medicare group
NPI 1699857664 (973) 984-1111
Open Mri Radiology LLC
29 mi
Radiology
530 GREEN ST LOWR LEVEL
Iselin, NJ 08830
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
NPI 1760426589 (732) 326-1515
Denville Diagnostics Imaging And Open Mri LLC
32 mi
Radiology
161 EAST MAIN STREET
Denville, NJ 07834
  • Reassigned Medicare billing, New Jersey enrollment
  • 49 clinicians in this Medicare group
NPI 1235245119 (973) 586-1212
Center For Advanced Imaging LLC
33 mi
Radiology
120 MILLBURN AVE
Millburn, NJ 07041
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
NPI 1417598087 (908) 979-1621
Newton Imaging P.A.
37 mi
Radiology
222 HIGH ST STE 101
Newton, NJ 07860
  • Reassigned Medicare billing, New Jersey enrollment
  • 54 clinicians in this Medicare group
NPI 1417988841 (973) 729-0002

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 10

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
394 services394 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
387 services387 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
284 services279 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
133 services133 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
56 services52 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
39 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

54.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40

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 Lisa Falcon's NPI number?

The NPI number for Lisa Falcon is 1427097526. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Lisa Falcon located?

Lisa Falcon practices at 312 Walter E Foran Blvd, Flemington, NJ 08822. The listed phone number is (908) 782-4700.

What is Lisa Falcon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lisa Falcon enrolled in Medicare?

Yes. Lisa Falcon 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 organizations bill Medicare for Lisa Falcon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Falcon reassigns Medicare benefits to 16 organizations: Radiology Associates Of Hackettstown LLC (Hackettstown, NJ), Mri Associates Of Hackettstown LLC (Hackettstown, NJ), The Radiology Group Of New Jersey, LLC (Hackettstown, NJ), East Brunswick Open Upright Mri LLC (East Brunswick, NJ), 95 Madison Imaging Center At Morristown Inc (Morristown, NJ) and 11 more organizations, listed in the Medicare section above. 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 Lisa Falcon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Falcon accept?

Health plans from 22 Health and Oscar Health Maintenance Organization of Florida list Lisa 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 Lisa Falcon was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.