DR. MICHAEL A. FALLUCCO M.D.
NPI 1851594436
Plastic Surgery - Plastic Surgery Within the Head and Neck in Jacksonville, FL

Q: What is Michael Fallucco's NPI number?

The NPI number for Michael Fallucco is 1851594436. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Michael Fallucco's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fallucco was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 08, 2007PECOS EnrolledAccepts Medicare Assignment

79.26/100

CMS Quality Rating

14540 OLD SAINT AUGUSTINE RD, SUITE 2391, JACKSONVILLE, FL 32258(904) 262-3372(904) 262-3306 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael A. Fallucco M.d. NPPES

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

DR. MICHAEL A. FALLUCCO M.D. (NPI 1851594436) is an individual plastic surgery within the head and neck provider in Jacksonville, Florida, licensed in Florida (ME109463) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Vanderbilt University School Of Medicine (2005).

NPPES Registry Identity

NPI1851594436

Entity TypeIndividualMale

Primary Taxonomy2082S0099X

Provider Legal NameDR. MICHAEL A. FALLUCCOCredential: M.D.

Location Address14540 OLD SAINT AUGUSTINE RD, SUITE 2391Jacksonville, FL 32258-7418

Mailing Address11945 San Jose Blvd, Bldg. 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 399-1717

Phone(904) 262-3372

Fax(904) 262-3306

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2005

Enumeration DateJune 8, 2007

Last NPPES UpdateApril 11, 2012

✔ NPI 1851594436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians

Taxonomy Code2082S0099X

License✔ Licensed in FL · ME109463

Definition

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

14540 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

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Other Identifiers 2

Other14C77FL · Bcbs

Medicare PINEX618ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Michael A. Fallucco M.d. 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 ID1254465172

PECOS Enrollment IDI20110519000522

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 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.

29 services24 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.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

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.

79.26/100

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

Scored as part of a group practice

Quality

64.47

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

83%88 patients4/55-star benchmark: 100%

Breast Cancer Screening

14%118 patients1/55-star benchmark: 93%

Cervical Cancer Screening

7%170 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

29%31 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

9%233 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

33%67 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

18%28 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

96%28 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%404 patients4/55-star benchmark: 100%

e-Prescribing

99%557 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

2%81 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

36%324 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%286 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

5%279 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 97% · 314 patients

96%314 patients

Provide Patients Electronic Access to Their Health Information

96%280 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%62 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 90 patients

Patients totalRate: 33% · 90 patients

33%90 patients1/55-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.

Other Providers at the Same Location NPPES 11

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

BAPTIST MD ANDERSON CANCER PHYSICIANS INC

Obstetrics & Gynecology (Gynecologic Oncology)

14540 OLD SAINT AUGUSTINE RD, SUITE 2593
JACKSONVILLE, FL 32258

Duval County (904) 389-3993

JOHN MICHAEL TIERNEY PA

Physician Assistant

14540 OLD SAINT AUGUSTINE RD, SUITE 2201
JACKSONVILLE, FL 32258

Duval County (904) 880-1260

DR. BENJAMIN M PIPERNO MD

Surgery

14540 OLD SAINT AUGUSTINE RD, SUITE 2571
JACKSONVILLE, FL 32258

Duval County (904) 886-2251

DR. CAMERON DAVID ADKISSON MD

Surgery

14540 OLD SAINT AUGUSTINE RD, 2571
JACKSONVILLE, FL 32258

Duval County (904) 886-2251

ALANA MICHELLE WEATHERLY PA-C

Physician Assistant

14540 OLD SAINT AUGUSTINE RD, SUITE 2391
JACKSONVILLE, FL 32258

Duval County (904) 262-3372

MRS. CHRISTI BURNETT PAUL ARNP

Nurse Practitioner (Family)

14540 OLD SAINT AUGUSTINE RD, SUITE 2207
JACKSONVILLE, FL 32258

Duval County (904) 807-9112

DR. JEFFERSON R. EDWARDS III M.D.

Surgery

14540 OLD SAINT AUGUSTINE RD, SUITE 2571
JACKSONVILLE, FL 32258

Duval County (904) 886-2251

LINDSAY CHOATE

Physician Assistant

14540 OLD SAINT AUGUSTINE RD, SUITE 2317
JACKSONVILLE, FL 32258

Duval County (904) 880-9696

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 Fallucco's NPI number?

The NPI number for Michael Fallucco is 1851594436. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Michael Fallucco located?

Michael Fallucco practices at 14540 Old Saint Augustine Rd Suite 2391, Jacksonville, FL 32258. The listed phone number is (904) 262-3372.

What is Michael Fallucco's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

Is Michael Fallucco enrolled in Medicare?

Yes. Michael Fallucco 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 Michael Fallucco accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Michael Fallucco 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 Michael Fallucco affiliated with any hospitals?

According to CMS data, Michael Fallucco is affiliated with Ascension St Vincent's Riverside and Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Michael Fallucco was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.