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DAVID FALGOUT M.D.
NPI 1902254402
Orthopaedic Surgery in Tucson, AZ

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
1609 N WARREN AVE, SUITE 110, TUCSON, AZ 85719(520) 626-4024 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2022, Jun 29, 2016 (2 updates tracked since 2016).

About David Falgout M.d. NPPES

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

DAVID FALGOUT M.D. (NPI 1902254402) is an individual orthopaedic surgery provider in Tucson, Arizona, licensed in Arizona (R75576) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902254402
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID FALGOUTCredential: M.D.
Location Address1609 N WARREN AVE, SUITE 110Tucson, AZ 85719-3761
Mailing Address1609 N Warren Ave, Ste 110Tucson, AZ 85719-3761 · (520) 626-4024
Phone(520) 626-4024
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 25, 2016
Last NPPES UpdateSeptember 22, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1902254402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AZ · R75576
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1609 N WARREN AVE, Tucson, AZ 85719
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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

David Falgout 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 ID8820380777
PECOS Enrollment IDI20240618001749
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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
14 services11 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. JOEL ROBERT WEBER M.D.
Orthopaedic Surgery
1609 N WARREN AVE, SUITE 110
TUCSON, AZ 85719
Pima County (520) 626-9245
DR. ALEXANDRA GRUNER KEOGH M.D.
Emergency Medicine
1609 N WARREN AVE, FOB BLDG. 220, ROOM 118
TUCSON, AZ 85719
Pima County (520) 626-6312
DR. LEAH KAYE GILBERT M.D.
Emergency Medicine
1609 N WARREN AVE, FOB BLDG. 220, ROOM 118
TUCSON, AZ 85719
Pima County (520) 626-6312

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 David Falgout's NPI number?

The NPI number for David Falgout is 1902254402. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is David Falgout located?

David Falgout practices at 1609 N Warren Ave Suite 110, Tucson, AZ 85719. The listed phone number is (520) 626-4024.

What is David Falgout's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Falgout enrolled in Medicare?

Yes. David Falgout 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 David Falgout accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and WellPoint list David Falgout 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 David Falgout affiliated with any hospitals?

According to CMS data, David Falgout is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for David Falgout was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.