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

Q: 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.

Q: What is Gerald Falasca's specialty?

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

Q: 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 20 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.

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: October 18, 2026.

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

On this page

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 Sycamore Shoals Hospital, 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

Phone(423) 794-3040

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Gerald Falasca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Education Assistance Corporation

0.1 mi

Internal Medicine

101 MED TECH PKWY STE 306
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
341 clinicians in this Medicare group

NPI 1235180480 (423) 433-6039

State Of Franklin Healthcare Associates PLLC

3.3 mi

Internal Medicine

121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615

Reassigned Medicare billing, Tennessee enrollment
357 clinicians in this Medicare group

NPI 1063459410 (423) 794-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

237 services123 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.

236 services151 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

155 services33 patients

Red blood cell sedimentation rate, to detect inflammation, automated 85652

The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.

148 services122 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

107 services60 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

97 services50 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

92 services54 patients

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.

90 services72 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

65 services46 patients

Rheumatoid factor level 86431

The Rheumatoid Factor Level test is a blood test that helps detect the presence of Rheumatoid Factor (RF), a protein produced by your immune system. High RF levels often indicate autoimmune diseases like rheumatoid arthritis. The test involves a simple blood draw and lab analysis.

44 services44 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

34 services14 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

32 services21 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.

31 services26 patients

Creatine kinase (cardiac enzyme) level, total 82550

The total Creatine Kinase (CK) level test is a blood test that helps assess the health of your heart. It measures an enzyme called CK that's released into the bloodstream when heart or other muscle tissue is damaged. High levels may indicate a heart attack or muscle disorder.

30 services21 patients

Measurement of complement (immune system proteins), antigen, 86160

The measurement of complement (immune system proteins) and antigen is a blood test. It helps to assess how your immune system is functioning. Complement proteins play a role in your body's immune response, and antigens trigger this response. This test helps in diagnosing and monitoring certain diseases.

30 services20 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

27 services22 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

26 services20 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

24 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services21 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

18 services16 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.

17 services16 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

16 services11 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

15 services14 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

12 services12 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

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

Quality

Promoting Interoperability

Improvement Activities

Cost

98.7

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.

BARNABAS HINES D.O.

Family Medicine

303 MED TECH PKWY
JOHNSON CITY, TN 37604

Washington County (423) 282-5611

DR. ELIZABETH G HUMSTON DO

Family Medicine

303 MED TECH PKWY, STE 150
JOHNSON CITY, TN 37604

Washington County (423) 282-8070

APPALCHAIN SKIN AND LASAR DBA AGELESS SKIN AND LASER

Clinic/Center

303 MED TECH PKWY, SUITE 110
JOHNSON CITY, TN 37604

Washington County (423) 953-5300

DR. STEPHANIE C MANGINELLI M.D.

Family Medicine

303 MED TECH PKWY, SUITE 150
JOHNSON CITY, TN 37604

Washington County (423) 282-8070

CHRISTINA R HUTCHINS M.D.

Family Medicine

303 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604

Washington County (423) 282-5611

MARION D MCLAUGHLIN M.D.

Family Medicine

303 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604

Washington County (423) 282-5611

DR. LEE A COLYAR M.D.

Family Medicine

303 MED TECH PKWY, SUITE 150
JOHNSON CITY, TN 37604

Washington County (423) 282-8070

ELLEN L NAVE MD

Family Medicine

303 MED TECH PKWY, SUITE 150
JOHNSON CITY, TN 37604

Washington County (423) 282-8070

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.

Which organizations bill Medicare for Gerald Falasca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Falasca reassigns Medicare benefits to 2 organizations: Medical Education Assistance Corporation (Johnson City, TN) and State Of Franklin Healthcare Associates PLLC (Johnson City, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gerald Falasca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gerald Falasca affiliated with any hospitals?

According to CMS data, Gerald Falasca is affiliated with Sycamore Shoals Hospital and Johnson City Medical Center.

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 20 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.