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

Q: 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.

Q: What is Carla Falkson's specialty?

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

Q: 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.

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: August 16, 2026.

On this page

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 Highland 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

Phone(585) 486-0600

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

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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

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.

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 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

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

Quality

68.2

Promoting Interoperability

100

Improvement Activities

Cost

42.68

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.

ASHLEY LYNN HENDERSHOT FNP

Nurse Practitioner (Family)

125 RED CREEK DR
ROCHESTER, NY 14623

Monroe County (585) 486-0600

MRS. KIMBERLY AMATRUDA VOELKER PA-C

Physician Assistant (Medical)

125 RED CREEK DR
ROCHESTER, NY 14623

Monroe County (585) 487-1700

LISA M NOBLES PA

Physician Assistant (Medical)

125 RED CREEK DR, SUITE 205
ROCHESTER, NY 14623

Monroe County (585) 321-0340

BRIAN DAVID YIRINEC M.D.

Internal Medicine (Hematology & Oncology)

125 RED CREEK DR
ROCHESTER, NY 14623

Monroe County (585) 486-0600

MONROE PHYSICAL THERAPY, LLP

Physical Therapist

125 RED CREEK DR, STE 210
ROCHESTER, NY 14623

Monroe County (585) 334-8090

RED CREEK ORTHOPAEDICS PC

Orthopaedic Surgery

125 RED CREEK DR, SUITE 205
ROCHESTER, NY 14623

Monroe County (585) 321-0110

MARCIA L KREBS M.D.

Internal Medicine (Medical Oncology)

125 RED CREEK DR
ROCHESTER, NY 14623

Monroe County (585) 468-0600

JONATHAN GABEL M.D.

Orthopaedic Surgery

125 RED CREEK DR, SUITE 205
ROCHESTER, NY 14623

Monroe County (585) 321-0110

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.

Is Carla Falkson affiliated with any hospitals?

According to CMS data, Carla Falkson is affiliated with Highland Hospital and 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.