DR. JOSEPH RICHARD FALCON JR. MD PC
NPI 1952379240
Plastic Surgery in Natrona Heights, PA

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
50/100
CMS Quality Rating
2913 FREEPORT RD, NATRONA HEIGHTS, PA 15065(724) 226-3900(724) 224-4004 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joseph Richard Falcon Jr. Md Pc NPPES

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

DR. JOSEPH RICHARD FALCON JR. MD PC (NPI 1952379240) is an individual plastic surgery provider in Natrona Heights, Pennsylvania, licensed in Pennsylvania (MD021036E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Hahnemann University College Of Medicine (1977).

NPPES Registry Identity

NPI1952379240
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JOSEPH RICHARD FALCON JR.Credential: MD PC
Location Address2913 FREEPORT RDNatrona Heights, PA 15065
Mailing Address2913 Freeport RdNatrona Heights, PA 15065 · (724) 226-3900 · Fax (724) 224-4004
Fax(724) 224-4004
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1977
Enumeration DateMarch 10, 2006
Last NPPES UpdateJanuary 21, 2011
NPI 1952379240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in PA · MD021036E
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2913 FREEPORT RD, Natrona Heights, PA 15065

Other Identifiers 10

Other2146596000Independence Bc/bs
Other103922PA · Upmc Health Plan
Other13669PA · Bravo
Other001456167PA · Highmark
Other240003045PA · Rr Med
Medicare UPINC29329
Medicaid1024096630002PA
Medicaid1024096630001PA
Other21946PA · Health America
Medicare ID-Type Unspecified084065PA

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. Joseph Richard Falcon Jr. Md Pc 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 ID1658375126
PECOS Enrollment IDI20060914000489
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 16

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.
115 services93 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
91 services82 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.
69 services69 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.
42 services38 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
37 services34 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051
This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.
26 services24 patients

Hospital Affiliations CMS Care Compare

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15065 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

50/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Nurse Anesthetist, Certified Registered
2913 FREEPORT RD
NATRONA HEIGHTS, PA 15065
Plastic Surgery
2913 FREEPORT RD
NATRONA HEIGHTS, PA 15065
Nurse Practitioner (Family)
2913 FREEPORT RD
NATRONA HEIGHTS, PA 15065
Plastic Surgery
2913 FREEPORT RD
NATRONA HEIGHTS, PA 15065
Specialist
2913 FREEPORT RD
NATRONA HEIGHTS, PA 15065
Plastic Surgery
2913 FREEPORT RD
NATRONA HEIGHTS, PA 15065

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 Joseph Falcon's NPI number?

The NPI number for Joseph Falcon is 1952379240. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Joseph Falcon located?

Joseph Falcon practices at 2913 Freeport Rd, Natrona Heights, PA 15065. The listed phone number is (724) 226-3900.

What is Joseph Falcon's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Joseph Falcon enrolled in Medicare?

Yes. Joseph Falcon 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.

Is Joseph Falcon affiliated with any hospitals?

According to CMS data, Joseph Falcon is affiliated with Allegheny Valley Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Falcon was last updated on January 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.