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RITA A FALCONE M.D.
NPI 1902966880
Internal Medicine - Cardiovascular Disease in West Chester, PA

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
915 OLD FERN HILL RD, BLDG A, STE 5, WEST CHESTER, PA 19380(610) 696-2850(610) 696-7159 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 10, 2023, May 16, 2018 (2 updates tracked since 2018).

About Rita A Falcone M.d. NPPES

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

RITA A FALCONE M.D. (NPI 1902966880) is an individual cardiovascular disease provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD420884) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902966880
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameRITA A FALCONECredential: M.D.
Location Address915 OLD FERN HILL RD, BLDG A, STE 5West Chester, PA 19380
Mailing Address207 N Broad St, 3rd FloorPhiladelphia, PA 19107-1500 · (610) 696-2850 · Fax (610) 696-7159
Phone(610) 696-2850
Fax(610) 696-7159
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1989
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1902966880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD420884
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
915 OLD FERN HILL RD, West Chester, PA 19380
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1404 McFarlan Rd Ste 102Kennett Square, PA 19348-2479 · Phone (610) 696-2850 · Fax (610) 696-7159
Location 2455 Woodview RdWest Grove, PA 19390-9303 · Phone (610) 696-2850 · Fax (610) 696-7159

Other Identifiers 2

OtherP01078711PA · Rr Medicare
Medicaid101438670PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Rita A Falcone 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 ID7315960531
PECOS Enrollment IDI20091208000597
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.

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.
745 services558 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
554 services479 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
283 services283 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.
114 services110 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
60 services15 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
55 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. DONALD H ANDERSEN M.D.
Urology
915 OLD FERN HILL RD, BLDG., B SUITE 202
WEST CHESTER, PA 19380
Chester County (610) 692-4270
KAREN WOOD CRNP
Nurse Practitioner
915 OLD FERN HILL RD, BLDG D, SUITE 600
WEST CHESTER, PA 19380
Chester County (610) 692-3434
DR. THERESA MUSHENO FEENEY DPT
Physical Therapist
915 OLD FERN HILL RD, BUILDING A, SUITE 4
WEST CHESTER, PA 19380
Chester County (610) 738-2480
MRS. COLLEEN M DIBERNARDO M.S.P.T.
Physical Therapist
915 OLD FERN HILL RD, SUITE 4
WEST CHESTER, PA 19380
Chester County (610) 738-2480
CHRISTOPHER L BALDI DO
Internal Medicine (Cardiovascular Disease)
915 OLD FERN HILL RD, BLDG. A SUITE 5
WEST CHESTER, PA 19380
Chester County (610) 696-2850
ROBERT P LISS MD
Ophthalmology
915 OLD FERN HILL RD, BUILDING B STE 200
WEST CHESTER, PA 19380
Chester County (610) 696-1230
MATTHEW J SCHAEDLER O.D.
Optometrist
915 OLD FERN HILL RD, BUILDING B, SUITE 200
WEST CHESTER, PA 19380
Chester County (610) 696-1230
DR. RICHARD F. CHALFIN M.D.
Internal Medicine
915 OLD FERN HILL RD, FERN HILL CAMPUS-BUILDING A-SUITE 3
WEST CHESTER, PA 19380
Chester County (610) 738-2450

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 Rita Falcone's NPI number?

The NPI number for Rita Falcone is 1902966880. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Rita Falcone located?

Rita Falcone practices at 915 Old Fern Hill Rd Bldg A, Ste 5, West Chester, PA 19380. The listed phone number is (610) 696-2850.

What is Rita Falcone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rita Falcone enrolled in Medicare?

Yes. Rita Falcone 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 Rita Falcone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Rita Falcone 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 Rita Falcone affiliated with any hospitals?

According to CMS data, Rita Falcone is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Rita Falcone was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.