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MICHELE JAMES FALINO DO
NPI 1497795918
Emergency Medicine in Quakertown, PA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1021 PARK AVE, QUAKERTOWN, PA 18951(215) 538-4561(215) 529-5290 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michele James Falino Do NPPES

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

MICHELE JAMES FALINO DO (NPI 1497795918) is an individual emergency medicine provider in Quakertown, Pennsylvania, licensed in Pennsylvania (OS005788L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1497795918
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHELE JAMES FALINOCredential: DO
Location Address1021 PARK AVEQuakertown, PA 18951-1573
Mailing Address1021 Park AveQuakertown, PA 18951-1573 · (215) 538-4561 · Fax (215) 529-5290
Phone(215) 538-4561
Fax(215) 529-5290
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1984
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 26, 2014
✔ NPI 1497795918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OS005788L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1021 PARK AVE, Quakertown, PA 18951
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB37283
Medicaid001189526PA
Medicare PIN123051

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

Michele James Falino Do 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 ID6507886496
PECOS Enrollment IDI20051207000336
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
245 services228 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services96 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18951 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

AMANDA MARIE SEMONCHE DO
Internal Medicine
1021 PARK AVE, SUITE 203
QUAKERTOWN, PA 18951
Bucks County (215) 536-7998
ST. LUKE'S QUAKERTOWN HOSPITAL
Emergency Medicine
1021 PARK AVE
QUAKERTOWN, PA 18951
Bucks County (215) 538-4561
DIANE P. MCCABE PAC
Physician Assistant (Medical)
1021 PARK AVE, SUITE 10
QUAKERTOWN, PA 18951
Bucks County (215) 529-9240
DANIEL J STAUFFER MD
Family Medicine
1021 PARK AVE, SUITE 203
QUAKERTOWN, PA 18951
Bucks County (215) 536-7998
PROGRESSIVE PHYSICIAN ASSOC, INC.
Radiology (Diagnostic Radiology)
1021 PARK AVE
QUAKERTOWN, PA 18951
Bucks County (610) 868-1100
QUAKERTOWN INTERNAL MEDICINE ASSOCIATES
Internal Medicine
1021 PARK AVE, SUITE 101
QUAKERTOWN, PA 18951
Bucks County (215) 538-1111
ST. LUKE'S PHYSICIAN GROUP, INC.
Family Medicine
1021 PARK AVE, STE203
QUAKERTOWN, PA 18951
Bucks County (215) 536-7998
JAY MARK SPRINGER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1021 PARK AVE, SUITE 200
QUAKERTOWN, PA 18951
Bucks County (215) 538-2004

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 Michele Falino's NPI number?

The NPI number for Michele Falino is 1497795918. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Michele Falino located?

Michele Falino practices at 1021 Park Ave, Quakertown, PA 18951. The listed phone number is (215) 538-4561.

What is Michele Falino's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michele Falino enrolled in Medicare?

Yes. Michele Falino 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 Michele Falino affiliated with any hospitals?

According to CMS data, Michele Falino is affiliated with St Lukes Quakertown Hospital.

When was this NPI record last updated?

The NPPES record for Michele Falino was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.