THOMAS S FALVEY III M.D.
NPI 1568475960
Internal Medicine in Houston, TX

Q: What is Thomas Falvey's NPI number?

The NPI number for Thomas Falvey is 1568475960. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Thomas Falvey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Falvey was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 15, 2006PECOS EnrolledAccepts Medicare Assignment

77.98/100

CMS Quality Rating

523 N SAM HOUSTON PKWY E STE 125, HOUSTON, TX 77060(281) 272-6277(281) 272-6281 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas S Falvey Iii M.d. NPPES

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

THOMAS S FALVEY III M.D. (NPI 1568475960) is an individual internal medicine provider in Houston, Texas, licensed in Texas (H6813) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1568475960

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTHOMAS S FALVEY IIICredential: M.D.

Location Address523 N SAM HOUSTON PKWY E STE 125Houston, TX 77060-4011

Mailing Address523 North Sanm Houston Parkway East , Suite #125Houston, TX 77060 · (281) 272-6277 · Fax (281) 272-6281

Phone(281) 272-6277

Fax(281) 272-6281

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateAugust 15, 2006

Last NPPES UpdateJune 14, 2012

✔ NPI 1568475960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · H6813

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

523 N SAM HOUSTON PKWY E STE 125, Houston, TX 77060

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Other Identifiers 4

Other111433201TX · Medicaid Epsdt

Medicare ID-Type Unspecified8B4651TX

Medicare UPINE15001TX

Medicaid032639902TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Thomas S Falvey Iii 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 ID547255259

PECOS Enrollment IDI20040420000614

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 14

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.

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

393 services379 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

390 services377 patients

Single contrast x-ray of upper digestive tract 74240

A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.

380 services368 patients

X-ray of part of lower jaw, 1-4 views 70100

An X-ray of the lower jaw, with 1-4 views, is a non-invasive imaging procedure. It helps visualize the jaw structure, checking for issues like fractures, infections, or dental problems. It's quick, painless, and provides valuable information for your treatment plan.

331 services330 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

265 services265 patients

Evaluation of swallowing function image 92611

An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.

160 services158 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.

122 services118 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

118 services113 patients

X-ray of upper spine, 2-3 views 72040

97 services96 patients

Imaging for evaluation of swallowing function 74230

97 services96 patients

Single contrast x-ray of upper digestive tract 74240

96 services95 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

94 services94 patients

X-ray of part of lower jaw, 1-4 views 70100

90 services90 patients

X-ray of chest, 1 view 71045

38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77060 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

77.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

80.04

Promoting Interoperability

100

Improvement Activities

Cost

13.23

Reported Quality Measures

Breast Cancer Screening

34%140 patients2/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

100%853 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

78%413 patients4/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

99%1,032 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

99%849 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

100%876 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%853 patients5/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

100%356 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES

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

PIPER HARRIS MA, CCC-SLP

Speech-Language Pathologist

523 N SAM HOUSTON PKWY E STE 125
HOUSTON, TX 77060

Harris County (281) 272-6277

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 Thomas Falvey's NPI number?

The NPI number for Thomas Falvey is 1568475960. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Thomas Falvey located?

Thomas Falvey practices at 523 N Sam Houston Pkwy E Ste 125, Houston, TX 77060. The listed phone number is (281) 272-6277.

What is Thomas Falvey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Falvey enrolled in Medicare?

Yes. Thomas Falvey 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.

What insurance does Thomas Falvey accept?

Health plans from Blue Cross and Blue Shield of Texas list Thomas Falvey 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 Thomas Falvey was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.