LEIGH ANN FALCON M.D.
NPI 1871738286
Internal Medicine in Port Lavaca, TX

Active since December 14, 2008PECOS EnrolledAccepts Medicare Assignment
1200 N VIRGINIA ST, PORT LAVACA, TX 77979(361) 552-6721(361) 552-7463 Get Directions Write a Review

NPPES record last updated: December 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leigh Ann Falcon M.d. NPPES

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

LEIGH ANN FALCON M.D. (NPI 1871738286) is an individual internal medicine provider in Port Lavaca, Texas, licensed in Texas (N1629) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Baylor College Of Medicine (2006).

NPPES Registry Identity

NPI1871738286
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLEIGH ANN FALCONCredential: M.D.
Location Address1200 N VIRGINIA STPort Lavaca, TX 77979-2507
Mailing Address1200 N Virginia StPort Lavaca, TX 77979-2507 · (361) 552-6721 · Fax (361) 552-7463
Fax(361) 552-7463
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2006
Enumeration DateDecember 14, 2008
Last NPPES UpdateDecember 14, 2009
NPI 1871738286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · N1629
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 N VIRGINIA ST, Port Lavaca, TX 77979

Other Names 1

Former Name (1)Leigh Ann Jedlicka M.d.

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

Leigh Ann Falcon 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 ID7012063860
PECOS Enrollment IDI20090918000384
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 10

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
458 services216 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
387 services196 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
256 services141 patients
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.
240 services117 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
138 services75 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
67 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450147
Location506 E San Antonio StVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX
OwnershipGovernment - Local
CMS Certification Number451356
Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77979 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%17,491 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
8%53 patients1/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%1,760 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
46%1,759 patients2/55-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 14

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
9 suppliers26 claims109 services$6.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims30 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier14 claims14 services$40.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier15 claims15 services$109.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier14 claims38 services$40.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers15 claims15 services$65.56 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 5

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

Family Medicine
1200 N VIRGINIA ST
PORT LAVACA, TX 77979
Nurse Practitioner (Family)
1200 N VIRGINIA ST
PORT LAVACA, TX 77979
Pediatrics
1200 N VIRGINIA ST
PORT LAVACA, TX 77979
Nurse Practitioner (Family)
1200 N VIRGINIA ST
PORT LAVACA, TX 77979
Nurse Practitioner (Family)
1200 N VIRGINIA ST
PORT LAVACA, TX 77979

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 Leigh Falcon's NPI number?

The NPI number for Leigh Falcon is 1871738286. It was assigned to this individual provider in the NPPES registry on December 14, 2008. The provider is also known as Leigh Ann Jedlicka M.D..

Where is Leigh Falcon located?

Leigh Falcon practices at 1200 N Virginia St, Port Lavaca, TX 77979. The listed phone number is (361) 552-6721.

What is Leigh Falcon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Leigh Falcon enrolled in Medicare?

Yes. Leigh 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 Leigh Falcon accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Leigh 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 Leigh Falcon affiliated with any hospitals?

According to CMS data, Leigh Falcon is affiliated with Citizens Medical Center, De Tar Hospital Navarro and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Leigh Falcon was last updated on December 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.