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DR. FALLON NICHOLE CONE O.D.
NPI 1619358462
Optometrist in Greenville, SC

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
1212 HAYWOOD RD STE 600, GREENVILLE, SC 29615(864) 234-7700(864) 288-7180 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2025, Jun 4, 2019 (2 updates tracked since 2019).

About Dr. Fallon Nichole Cone O.d. NPPES

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

DR. FALLON NICHOLE CONE O.D. (NPI 1619358462) is an individual optometrist in Greenville, South Carolina, licensed in Tennessee (3235) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2015).

NPPES Registry Identity

NPI1619358462
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. FALLON NICHOLE CONECredential: O.D.
Location Address1212 HAYWOOD RD STE 600Greenville, SC 29615-4965
Mailing Address1212 Haywood Rd Ste 600Greenville, SC 29615-4965 · (864) 234-7700 · Fax (864) 288-7180
Phone(864) 234-7700
Fax(864) 288-7180
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1619358462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TN · 3235✔ Licensed in SC · 2465
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1212 HAYWOOD RD STE 600, Greenville, SC 29615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Dr. Fallon Nichole Cone O.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 ID1254649684
PECOS Enrollment IDI20240729000475
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 Fallon Cone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greenville Eyecare Associates PA
Same address
Optometrist
1212 HAYWOOD RD, SUITE 600
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1134258759 (864) 234-7700
Myeyedr Optometry Of Tennessee, LLC
134 mi
Optometrist
127 E DIVISION RD
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 65 clinicians in this Medicare group
NPI 1932874278 (865) 483-6338
Cullison Eye Care
420 mi
Optometrist
2059 S HOUSTON LEVEE RD, SUITE #125
Germantown, TN 38139
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1578944674 (901) 850-8572

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 5

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
59 services59 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 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.
14 services14 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES

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

RYAN LAWTON
Optometrist
1212 HAYWOOD RD STE 600
GREENVILLE, SC 29615
Greenville County (864) 234-7700

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 Fallon Cone's NPI number?

The NPI number for Fallon Cone is 1619358462. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Fallon Cone located?

Fallon Cone practices at 1212 Haywood Rd Ste 600, Greenville, SC 29615. The listed phone number is (864) 234-7700.

What is Fallon Cone's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Fallon Cone enrolled in Medicare?

Yes. Fallon Cone 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 Fallon Cone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fallon Cone reassigns Medicare benefits to 3 organizations: Greenville Eyecare Associates PA (Greenville, SC), Myeyedr Optometry Of Tennessee, LLC (Oak Ridge, TN) and Cullison Eye Care (Germantown, TN). 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 Fallon Cone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fallon Cone accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Molina Healthcare and 7 other insurers list Fallon Cone 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 Fallon Cone was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.