CARLA I FALKSON MD
NPI 1538103122
Internal Medicine - Hematology & Oncology in Rochester, NY

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
125 RED CREEK DR, ROCHESTER, NY 14623(585) 486-0600(585) 486-0649 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carla I Falkson Md NPPES

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

CARLA I FALKSON MD (NPI 1538103122) is an individual hematology & oncology provider in Rochester, New York, licensed in New York (300498) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1538103122
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameCARLA I FALKSONCredential: MD
Location Address125 RED CREEK DRRochester, NY 14623-4272
Mailing Address601 Elmwood Ave Box 704Rochester, NY 14642-0001 · (585) 275-5823
Fax(585) 486-0649
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 15, 2006
Last NPPES UpdateJune 30, 2023
NPPES CertifiedDecember 12, 2019
✔ NPI 1538103122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 300498
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
125 RED CREEK DR, Rochester, NY 14623

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

Carla I Falkson Md 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 ID1658545660
PECOS Enrollment IDI20191031002521
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

3

Medicare enrollment records show Carla Falkson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 154 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services32 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.
50 services36 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

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)
125 RED CREEK DR
ROCHESTER, NY 14623
Physician Assistant (Medical)
125 RED CREEK DR
ROCHESTER, NY 14623
Physician Assistant (Medical)
125 RED CREEK DR, SUITE 205
ROCHESTER, NY 14623
Internal Medicine (Hematology & Oncology)
125 RED CREEK DR
ROCHESTER, NY 14623
Physical Therapist
125 RED CREEK DR, STE 210
ROCHESTER, NY 14623
Orthopaedic Surgery
125 RED CREEK DR, SUITE 205
ROCHESTER, NY 14623
Internal Medicine (Medical Oncology)
125 RED CREEK DR
ROCHESTER, NY 14623
Orthopaedic Surgery
125 RED CREEK DR, SUITE 205
ROCHESTER, NY 14623

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 Carla Falkson's NPI number?

The NPI number for Carla Falkson is 1538103122. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Carla Falkson located?

Carla Falkson practices at 125 Red Creek Dr, Rochester, NY 14623. The listed phone number is (585) 486-0600.

What is Carla Falkson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Carla Falkson enrolled in Medicare?

Yes. Carla Falkson 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 Carla Falkson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Falkson reassigns Medicare benefits to 3 organizations: Hematology Clinical Group (Rochester, NY), University Of Rochester (Rochester, NY) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 Carla Falkson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carla Falkson affiliated with any hospitals?

According to CMS data, Carla Falkson is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carla Falkson was last updated on June 30, 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.