GRACE MCCLUNG FALBO D.O.
NPI 1679865687
Family Medicine in Charleston, WV

Active since May 09, 2011PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 205-7535 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Mcclung Falbo D.o. NPPES

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

GRACE MCCLUNG FALBO D.O. (NPI 1679865687) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (2648) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1679865687
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRACE MCCLUNG FALBOCredential: D.O.
Location Address4602 MACCORKLE AVE SECharleston, WV 25304-1848
Mailing Address4602 Maccorkle Ave SeCharleston, WV 25304-1848 · (304) 205-7535
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011
Enumeration DateMay 9, 2011
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
NPI 1679865687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 2648
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4602 MACCORKLE AVE SE, Charleston, WV 25304

Accepted 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

Grace Mcclung Falbo D.o. 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 ID3870744360
PECOS Enrollment IDI20141217001351
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
63 services40 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%1,854 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
57%526 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers20 claims20 services$17.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers20 claims20 services$88.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant
4602 MACCORKLE AVE SE, 81 LINCOLN PANTHER WAY
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Grace Falbo's NPI number?

The NPI number for Grace Falbo is 1679865687. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Grace Falbo located?

Grace Falbo practices at 4602 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 205-7535.

What is Grace Falbo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grace Falbo enrolled in Medicare?

Yes. Grace Falbo 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 Grace Falbo accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Grace Falbo 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.

Is Grace Falbo affiliated with any hospitals?

According to CMS data, Grace Falbo is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Grace Falbo was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.