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NICOLE FALBO NP
NPI 1811472384
Nurse Practitioner - Family in South Abington Township, PA

Active since October 01, 2018PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
105 LAYTON RD, SOUTH ABINGTON TOWNSHIP, PA 18411(570) 587-0758(570) 587-8330 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2023, Oct 1, 2018 (2 updates tracked since 2018).

About Nicole Falbo Np NPPES

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

NICOLE FALBO NP (NPI 1811472384) is an individual family provider in South Abington Township, Pennsylvania, licensed in New York (343651) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Regional Hospital Of Scranton, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811472384
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE FALBOCredential: NP
Location Address105 LAYTON RDSouth Abington Township, PA 18411-9376
Mailing AddressPo Box 478Clarks Summit, PA 18411-0478 · (570) 586-8186 · Fax (570) 587-8330
Phone(570) 587-0758
Fax(570) 587-8330
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 1, 2018
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1811472384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 343651
105 LAYTON RD, South Abington Township, PA 18411
Open in Google Maps ↗

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

Nicole Falbo Np 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 ID9335493535
PECOS Enrollment IDI20230323000827
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 6

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 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.
343 services192 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
38 services38 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
16 services15 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18411 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Other Providers at the Same Location NPPES 4

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

DR. SUN-TAK HAN M.D.
Internal Medicine (Cardiovascular Disease)
105 LAYTON RD
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 586-3982
NATASHA JAEL CLINE FNP-C
Nurse Practitioner (Family)
105 LAYTON RD
SOUTH ABINGTON TOWNSHIP, PA 18411
Lackawanna County (570) 586-8186
KAROLINA M LEVESQUE CRNP
Nurse Practitioner (Family)
105 LAYTON RD
SOUTH ABINGTON TOWNSHIP, PA 18411
Lackawanna County (570) 586-8186
STEPHEN GERARD JADITZ D.O.
Family Medicine (Geriatric Medicine)
105 LAYTON RD
SOUTH ABINGTON TOWNSHIP, PA 18411
Lackawanna County (570) 586-8186

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 Nicole Falbo's NPI number?

The NPI number for Nicole Falbo is 1811472384. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Nicole Falbo located?

Nicole Falbo practices at 105 Layton Rd, South Abington Township, PA 18411. The listed phone number is (570) 587-0758.

What is Nicole Falbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Falbo enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Falbo affiliated with any hospitals?

According to CMS data, Nicole Falbo is affiliated with Regional Hospital Of Scranton and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Nicole Falbo was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.