DR. GERALD F FALASCA MD
NPI 1891888434
Internal Medicine - Rheumatology in Johnson City, TN

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
29.61/100
CMS Quality Rating
303 MED TECH PKWY, SUITE 200, JOHNSON CITY, TN 37604(423) 794-3040(423) 794-3041 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, Mar 25, 2021, Nov 17, 2017 and 1 more (4 updates tracked since 2015).

About Dr. Gerald F Falasca Md NPPES

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

DR. GERALD F FALASCA MD (NPI 1891888434) is an individual rheumatology provider in Johnson City, Tennessee, licensed in Tennessee (46761) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Rutgers New Jersey Medical School (1984).

NPPES Registry Identity

NPI1891888434
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. GERALD F FALASCACredential: MD
Location Address303 MED TECH PKWY, SUITE 200Johnson City, TN 37604-2391
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 794-3040 · Fax (423) 794-3041
Fax(423) 794-3041
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1984
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1891888434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in TN · 46761 Licensed in PA · MD046569L Licensed in NJ · MA47176
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
303 MED TECH PKWY, Johnson City, TN 37604

Other Identifiers 14

Other123439NJ · Aetna Us Healthcare
Other13568NJ · University Health Plan
Medicaid1522113TN
Other84100NJ · Amerigroup
Other1015295NJ · Horizon Nj Health
Other1245504NJ · United Health Care
Other588005NJ · Amerihealth Ppo
Other9037286NJ · Cigna
Other3K6156NJ · Healthnet, Inc
Other588005NJ · Pennsylvania Blue Shield
OtherP462113NJ · Oxford Health Plan
Other0409921000NJ · Amerihealth Hmo
Medicaid1220802NJ
Other110084239NJ · Railroad Medicare

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

Dr. Gerald F Falasca Md 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 ID4789613910
PECOS Enrollment IDI20110131000507
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 31

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.

Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
7,853 services13 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,328 services146 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
900 services11 patients
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.
516 services311 patients
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.
465 services220 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
305 services197 patients

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

29.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost98.7

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.

Family Medicine
303 MED TECH PKWY
JOHNSON CITY, TN 37604
Family Medicine
303 MED TECH PKWY, STE 150
JOHNSON CITY, TN 37604
Clinic/Center
303 MED TECH PKWY, SUITE 110
JOHNSON CITY, TN 37604
Family Medicine
303 MED TECH PKWY, SUITE 150
JOHNSON CITY, TN 37604
Family Medicine
303 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604
Family Medicine
303 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604
Family Medicine
303 MED TECH PKWY, SUITE 150
JOHNSON CITY, TN 37604
Family Medicine
303 MED TECH PKWY, SUITE 150
JOHNSON CITY, TN 37604

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 Gerald Falasca's NPI number?

The NPI number for Gerald Falasca is 1891888434. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Gerald Falasca located?

Gerald Falasca practices at 303 Med Tech Pkwy Suite 200, Johnson City, TN 37604. The listed phone number is (423) 794-3040.

What is Gerald Falasca's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gerald Falasca enrolled in Medicare?

Yes. Gerald Falasca 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 Gerald Falasca accept?

Health plans from BlueCross BlueShield of Tennessee list Gerald Falasca 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 Gerald Falasca affiliated with any hospitals?

According to CMS data, Gerald Falasca is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center, Sycamore Shoals Hospital, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Falasca was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.