Active NPI 1558566273 Individual Practitioner Male Practitioner

Dr. John Lawrence Falcone , MD

Surgery • Owensboro, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Falcone, MD is a certified Surgery practicing in Owensboro, KY. With approximately 20 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 2006, Dr. Falcone delivers high-quality medical care to the local community at 2801 NEW HARTFORD RD.

Dr. Falcone maintains professional affiliations with Owensboro Health Medical Group Inc, Owensboro Health, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2801 New Hartford Rd

Owensboro, KY 423031320

Telephone 2706833720

Fax 2706867331

Associated Practice Facility / Clinic

🏢 General Thoracic And Vascular Surgical Associates Facility NPI 1891886925

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Owensboro, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -0.8 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Owensboro, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Falcone (20 Years) 20 Yrs

Owensboro Specialty Average (20.8 Years) 20.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	137	$139.00	$85.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	86	77	$50.00	$15.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	34	$137.00	$75.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	28	$75.00	$47.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	48	$263.00	$124.96
93922 Ultrasound study of arm and leg arteries	51	46	$229.00	$62.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$206.00	$103.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$205.00	$120.51
93925 Ultrasound of leg arteries or artery grafts	30	26	$524.60	$214.46
93880 Ultrasound of both sides of head and neck blood flow	25	24	$365.00	$168.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$952.00	$231.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$527.89	$81.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$83.00	$52.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$622.00	$174.00
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	11	$27.00	$12.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	138	$139.00	$84.93
93922 Ultrasound study of arm and leg arteries	40	38	$229.00	$64.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	12	$75.00	$47.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	21	$137.00	$76.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$205.00	$120.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$914.67	$239.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$263.00	$120.63
93880 Ultrasound of both sides of head and neck blood flow	24	24	$365.00	$170.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$206.00	$103.01
93990 Ultrasound of dialysis access	19	14	$372.00	$116.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$434.00	$93.44
93925 Ultrasound of leg arteries or artery grafts	16	16	$471.00	$216.93
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	14	$27.00	$14.09
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$287.64	$98.08
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	11	11	$397.55	$152.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	160	$139.00	$85.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	34	$137.00	$68.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	22	$75.00	$37.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	42	$263.00	$129.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$205.00	$120.25
93922 Ultrasound study of arm and leg arteries	39	36	$229.00	$63.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	36	$932.32	$240.36
93880 Ultrasound of both sides of head and neck blood flow	27	26	$365.00	$174.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$206.00	$106.21
93925 Ultrasound of leg arteries or artery grafts	21	21	$471.00	$223.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$434.00	$74.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$640.29	$170.30
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	14	$431.00	$163.40
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	12	$27.00	$14.69
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	13	$312.00	$110.66
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$632.00	$176.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	125	$139.00	$85.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	37	$137.00	$68.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	19	$75.00	$36.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	41	$263.00	$129.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	35	$205.00	$121.78
93922 Ultrasound study of arm and leg arteries	38	37	$229.00	$63.21
93925 Ultrasound of leg arteries or artery grafts	31	31	$471.00	$232.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$434.00	$97.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$206.00	$107.12
93880 Ultrasound of both sides of head and neck blood flow	18	18	$365.00	$174.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	16	$37.00	$18.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$920.89	$246.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$316.00	$160.72
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	14	$850.78	$192.05
76937 Ultrasonic guidance for blood vessel access	15	14	$29.00	$13.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$83.00	$53.16
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	15	$27.00	$14.94
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$622.00	$180.67
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$632.00	$179.82
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	11	11	$431.00	$164.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	76	$205.00	$104.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	34	$75.00	$36.17
99213 Established patient office or other outpatient visit, typically 15 minutes	79	75	$139.00	$70.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	52	$263.00	$133.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	36	$137.00	$68.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$83.00	$42.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$316.00	$152.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$920.89	$247.10
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	14	$37.00	$18.58
76937 Ultrasonic guidance for blood vessel access	15	14	$29.00	$14.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$274.00	$140.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$434.00	$85.53
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	11	$27.00	$14.85
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	11	$859.38	$228.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	99	$205.00	$101.31
99213 Established patient office or other outpatient visit, typically 15 minutes	98	91	$139.00	$69.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	60	$137.00	$70.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	39	$75.00	$38.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	64	$263.00	$132.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$83.00	$41.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$316.00	$156.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$274.00	$134.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$434.00	$104.86
99238 Hospital discharge day management, 30 minutes or less	18	17	$138.00	$70.44
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$388.00	$75.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$896.00	$224.54
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$632.00	$166.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$388.00	$196.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	103	$139.56	$68.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	79	$206.09	$101.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	34	$75.00	$37.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	40	$137.00	$69.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$263.00	$131.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$316.00	$154.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	38	$83.00	$40.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$279.17	$136.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$955.73	$237.00
99238 Hospital discharge day management, 30 minutes or less	13	13	$138.00	$69.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$393.00	$195.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$434.00	$101.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	109	$139.00	$68.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	76	$205.00	$100.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	53	$137.00	$68.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	39	$75.00	$37.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$263.00	$130.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$316.00	$153.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	35	$274.00	$134.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$83.00	$40.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	23	$434.00	$106.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$393.00	$193.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	22	$622.00	$162.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$896.00	$249.40
45380 Biopsy of large bowel using an endoscope	15	14	$754.00	$184.73
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$194.00	$96.73
47562 Removal of gallbladder using an endoscope	15	15	$2035.20	$563.39
76937 Ultrasonic guidance for blood vessel access	13	13	$29.00	$13.41
99238 Hospital discharge day management, 30 minutes or less	12	11	$138.00	$68.92
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	11	11	$825.00	$210.65

Medical Specialties & State Licenses

CMS Verified: 2020-06-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 46450

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01073242A

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201195020 (IN)

Medicaid State Provider ID

7100264340 (KY)

Hospital & Practice Group Affiliations

Owensboro Health Medical Group Inc

2885 New Hartford Rd, Owensboro, KY 423031320

Phone: 2706852374

Owensboro Health Medical Group Inc

2801 New Hartford Rd, Owensboro, KY 423031320

Phone: 2706833720

Owensboro Health Medical Group Inc

1201 Pleasant Valley Rd, Owensboro, KY 423039811

Owensboro Health Medical Group Inc

421 7th St, Tell City, IN 475862202

Phone: 8125477448

Owensboro Health Medical Group Inc

440 Hopkinsville St, Greenville, KY 423451124

Phone: 2703388000

Owensboro Health Medical Group Inc

2211 Mayfair Dr, Owensboro, KY 423014569

Owensboro Health Medical Group Inc

1 Hospital Rd, Tell City, IN 475862750

Phone: 8125470106

Owensboro Health Medical Group Inc

Po Box, Owensboro, KY 423043229

Owensboro Health Medical Group Inc

420 Hopkinsville St, Greenville, KY 423451102

Phone: 2703772440

Owensboro Health Medical Group Inc

440 Hopkinsville St, Greenville, KY 423451124

Phone: 2703772440

Owensboro Health Medical Group Inc

27 Us Hwy 66 E, Tell City, IN 475862044

Phone: 8123952011

Owensboro Health, Inc

1006 Ford Ave, Owensboro, KY 423014677

Phone: 2706884845

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Dr. Megan Rauch , DO

Surgery

NPI 1033790969

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Glaser , MD

Surgery

NPI 1053311621

Doctor of Medicine (M.D.)

Dr. Thomas Nebel , DO

Surgery

NPI 1053468876

Doctor of Osteopathic Medicine (D.O.)

Robert Payne , APRN

Nurse Practitioner - Gerontology

NPI 1114379435

Advanced Practice Registered Nurse

Tara Allen , APRN

Nurse Practitioner - Family

NPI 1124772736

Advanced Practice Registered Nurse

Sarah Ringkor , CSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1154937159

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2016

Registered at 2801 NEW HARTFORD RD, OWENSBORO, KY 423031320 (Tel: 2706833720)

📍

Updated Business Mailing Address February 19, 2016

Registered at PO BOX 23229, OWENSBORO, KY 423043229 (Tel: 2706881330)

👤

Provider Name / Credentials Updated February 19, 2016

Recorded as JOHN FALCONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2016

Surgery (License #46450 in KY)

🟢

Initial NPI Registration & Enumeration June 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. John Falcone. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558566273

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 21, 2007

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 23229

Owensboro, KY 423043229

Phone: 2706881330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.