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THERESA SALDANA FALCON D.O.
NPI 1821026691
Family Medicine in Baytown, TX

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
6515 GARTH RD STE 150, BAYTOWN, TX 77521(832) 806-6810(833) 997-0936 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Saldana Falcon D.o. NPPES

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

THERESA SALDANA FALCON D.O. (NPI 1821026691) is an individual family medicine provider in Baytown, Texas, licensed in Texas (J2872) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1991).

NPPES Registry Identity

NPI1821026691
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHERESA SALDANA FALCONCredential: D.O.
Location Address6515 GARTH RD STE 150Baytown, TX 77521-5628
Mailing Address6515 Garth Rd Ste 150Baytown, TX 77521-5628 · (832) 806-6810 · Fax (833) 997-0936
Phone(832) 806-6810
Fax(833) 997-0936
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1991
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1821026691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J2872
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.
6515 GARTH RD STE 150, Baytown, TX 77521
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Other Identifiers 2

OtherP00250995TX · Medicare Railroad
Medicaid131820610TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.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

Theresa Saldana Falcon 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 ID6204731847
PECOS Enrollment IDI20031205000302
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.

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.
32 services25 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims32 services$5.89 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 2

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

CENTERWELL SENIOR PRIMARY CARE (TX) PA
Family Medicine
6515 GARTH RD STE 150
BAYTOWN, TX 77521
Harris County (833) 997-0935
ALTAGRACIA GARZA
Nurse Practitioner (Family)
6515 GARTH RD STE 150
BAYTOWN, TX 77521
Harris County (832) 806-6810

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 Theresa Saldana Falcon's NPI number?

The NPI number for Theresa Saldana Falcon is 1821026691. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Theresa Saldana Falcon located?

Theresa Saldana Falcon practices at 6515 Garth Rd Ste 150, Baytown, TX 77521. The listed phone number is (832) 806-6810.

What is Theresa Saldana Falcon's specialty?

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

Is Theresa Saldana Falcon enrolled in Medicare?

Yes. Theresa Saldana Falcon 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 Theresa Saldana Falcon accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Theresa Saldana 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.

Is Theresa Saldana Falcon affiliated with any hospitals?

According to CMS data, Theresa Saldana Falcon is affiliated with Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Saldana Falcon was last updated on December 12, 2022. 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.