MICHAEL J FALCONE DO
NPI 1730883620
Internal Medicine in Sterling, MA
About Michael J Falcone Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL J FALCONE DO (NPI 1730883620) is an individual internal medicine provider in Sterling, Massachusetts, licensed in Massachusetts (1027000) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 J Falcone Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Falcone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01564 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STERLING, MA 01564
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 Michael Falcone's NPI number?
The NPI number for Michael Falcone is 1730883620. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Michael Falcone located?
Michael Falcone practices at 50 Leominster Rd, Sterling, MA 01564. The listed phone number is (978) 422-5082.
What is Michael Falcone's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Michael Falcone enrolled in Medicare?
Yes. Michael Falcone 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 organization bills Medicare for Michael Falcone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Falcone reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The 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 Michael Falcone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Falcone accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Michael Falcone 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 Michael Falcone was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Michael J Falcone, DO · NPI 1730883620
Internal Medicine physician in Sterling, Massachusetts. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1730883620 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 1027000 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 LEOMINSTER RD, Sterling, MA 01564-2146
- **Phone:** (978) 422-5082 · **Fax:** (978) 422-5081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2023
## Record status
- **NPPES last updated:** May 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730883620) · Data from the CMS NPPES public registry.