MICHAEL JOSEPH FALCI D.P.M.
NPI 1669858114
Podiatrist in York, PA

Q: What is Michael Falci's NPI number?

The NPI number for Michael Falci is 1669858114. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Q: What is Michael Falci's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Falci was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 07, 2015PECOS EnrolledAccepts Medicare Assignment

95.21/100

CMS Quality Rating

3230 EASTERN BLVD, YORK, PA 17402(717) 755-0722(717) 757-7255 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2023, May 22, 2019, Oct 1, 2018 (3 updates tracked since 2018).

On this page

About Michael Joseph Falci D.p.m. NPPES

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

MICHAEL JOSEPH FALCI D.P.M. (NPI 1669858114) is an individual podiatrist in York, Pennsylvania, licensed in Pennsylvania (SC006684) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669858114

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameMICHAEL JOSEPH FALCICredential: D.P.M.

Location Address3230 EASTERN BLVDYork, PA 17402-3030

Mailing Address1861 Powder Mill Rd, Attn MsoYork, PA 17402-4723 · (717) 718-2041 · Fax (717) 741-9867

Phone(717) 755-0722

Fax(717) 757-7255

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2015

Enumeration DateAugust 7, 2015

Last NPPES UpdateJanuary 15, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2024

✔ NPI 1669858114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in PA · SC006684

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License SC006684 (PA)

3230 EASTERN BLVD, York, PA 17402

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1856 Century DrMechanicsburg, PA 17055-4505 · Phone (717) 730-7099 · Fax (717) 741-9867

Location 21855 Powder Mill RdYork, PA 17402-4723 · Phone (717) 848-4800 · Fax (717) 741-9867

Location 31665 Roosevelt AveYork, PA 17408-8549 · Phone (717) 848-4800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Michael Joseph Falci D.p.m. 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 ID5799070777

PECOS Enrollment IDI20180521000218

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 Reassignment

Medicare enrollment records show Michael Falci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oss Orthopaedic Hospital, LLC

4.5 mi

General Acute Care Hospital

1861 POWDER MILL RD.
York, PA 17402

Reassigned Medicare billing, Pennsylvania enrollment
165 clinicians in this Medicare group

NPI 1578881652 (717) 718-2000

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 20

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

248 services102 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.

158 services130 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

118 services80 patients

X-ray of foot, minimum of 3 views 73630

104 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

95 services77 patients

Removal of fingernails or toenails, 6 or more nails 11721

87 services41 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.

75 services71 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

59 services49 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

52 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

52 services52 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

35 services20 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.

31 services31 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

30 services14 patients

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

30 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

28 services28 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

25 services16 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

24 services12 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

24 services16 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

16 services12 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390101

Location1701 Innovation DriveYork, PA 17408 · York County

Emergency services Birthing friendly

Oss Orthopaedic Hospital

Acute Care Hospitals · York, PA

OwnershipProprietary

CMS Certification Number390325

Location1861 Powder Mill RdYork, PA 17402 · York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

95.21/100

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

Scored as part of a group practice

Quality

90.73

Promoting Interoperability

100

Improvement Activities

Cost

93.32

Other Providers at the Same Location NPPES 5

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

DR. JOSEPH P HENSLEY DPM

Podiatrist