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MICHAEL FALCONER CSW
NPI 1922486901
Social Worker - Clinical in Brookings, SD

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
601 4TH ST, STE 101, BROOKINGS, SD 57006(605) 322-4079 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Falconer Csw NPPES

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

MICHAEL FALCONER CSW (NPI 1922486901) is an individual clinical provider in Brookings, South Dakota, licensed in South Dakota (3347) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1922486901
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL FALCONERCredential: CSW
Location Address601 4TH ST, STE 101Brookings, SD 57006-2065
Mailing AddressPo Box 5045, Attn: P.f.s. Prov EnrollmentSioux Falls, SD 57117-5045 · (605) 322-6428
Phone(605) 322-4079
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 11, 2015
✔ NPI 1922486901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SD · 3347
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
601 4TH ST, Brookings, SD 57006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and more.Insurance ›

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

Michael Falconer Csw 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 ID6800101957
PECOS Enrollment IDI20150818005405
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

2

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

Avera Mckennan
1.4 mi
General Practice
400 22ND AVE.
Brookings, SD 57006
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1912936535 (605) 697-9500
Mk Counseling LLC
55 mi
Social Worker
3101 S PHILLIPS AVE
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 11 clinicians in this Medicare group
NPI 1457029597 (605) 231-8387

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57006 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
$0.00 typical visit price
range $55.52 – $167.23
Typical copayment $0.00 (range $13.88 – $41.80)
Most-billed visit code NA
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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

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

CHLOE FERGUSON MSW
Social Worker (Clinical)
601 4TH ST
BROOKINGS, SD 57006
Brookings County (605) 494-1500

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 Michael Falconer's NPI number?

The NPI number for Michael Falconer is 1922486901. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Michael Falconer located?

Michael Falconer practices at 601 4th St Ste 101, Brookings, SD 57006. The listed phone number is (605) 322-4079.

What is Michael Falconer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Falconer enrolled in Medicare?

Yes. Michael Falconer 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 Michael Falconer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Falconer reassigns Medicare benefits to 2 organizations: Avera Mckennan (Brookings, SD) and Mk Counseling LLC (Sioux Falls, SD). 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 Michael Falconer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Falconer accept?

Health plans from Avera Health Plans, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Michael Falconer 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.

When was this NPI record last updated?

The NPPES record for Michael Falconer was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.