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DR. CARLOS FALCON JR. MD
NPI 1619959277
Emergency Medical Technician, Basic in West Burlington, IA

Active since November 18, 2005PECOS Enrolled
77.81/100
CMS Quality Rating
1221 S GEAR AVE, WEST BURLINGTON, IA 52655(319) 768-3628(319) 768-3633 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlos Falcon Jr. Md NPPES

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

DR. CARLOS FALCON JR. MD (NPI 1619959277) is an individual emergency medical technician, basic provider in West Burlington, Iowa, licensed in Iowa (3Z896) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619959277
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameDR. CARLOS FALCON JR.Credential: MD
Location Address1221 S GEAR AVEWest Burlington, IA 52655
Mailing AddressPo Box 668West Burlington, IA 52655-0668 · (319) 768-3628 · Fax (319) 768-3633
Phone(319) 768-3628
Fax(319) 768-3633
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateMay 23, 2018
✔ NPI 1619959277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in IA · 3Z896
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 32896 (IA)
1221 S GEAR AVE, West Burlington, IA 52655
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Other Identifiers 3

Other930097506IA · Rr Mc
Other49571IA · Bx
Medicaid0184838IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos Falcon Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.
229 services222 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.
133 services126 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

MS. SHEVANI UVENI GANESH M.D
Psychiatry & Neurology (Psychosomatic Medicine)
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
RACHEL CROOKS
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
SOUTHEAST IOWA ANESTHESIA PLC
Anesthesiology
1221 S GEAR AVE
W BURLINGTON, IA 52655
Des Moines County (319) 768-1000
HALEY HINES PA-C
Physician Assistant
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 329-5752
DR. SIVA GADDE M.D.,
Hospitalist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3471
JILL ANN NEALEY
Occupational Therapist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 850-0281
VIVIAN ANDERSON
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
MARK WALZ CRNA
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000

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 Carlos Falcon's NPI number?

The NPI number for Carlos Falcon is 1619959277. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Carlos Falcon located?

Carlos Falcon practices at 1221 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 768-3628.

What is Carlos Falcon's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

Is Carlos Falcon enrolled in Medicare?

Yes. Carlos Falcon is registered in the Medicare PECOS enrollment system.

What insurance does Carlos Falcon accept?

Health plans from Medica list Carlos Falcon 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 Carlos Falcon was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.