Active NPI 1275619033 Individual Practitioner Female Practitioner

Sandy J Falcon , PA-C

Physician Assistant • Boston, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Sandy Falcon, PA-C is a certified Physician Assistant practicing in Boston, MA. With approximately 28 years of clinical experience since completing medical education in 1998, Sandy Falcon delivers high-quality medical care to the local community at 88 E NEWTON ST.

Sandy Falcon is affiliated with Brigham And Womens Physicians Organization Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

88 E Newton St

Boston, MA 021182308

Telephone 6176388413

Fax 6176388607

Associated Practice Facility / Clinic

🏢 Boston University Medical Center Facility NPI 1346229341

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boston, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +20.1 yrs vs City Avg

City Avg: 7.9 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

1664 Specialists

Practicing in Boston, MA (4746 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Falcon (28 Years) 28 Yrs

Boston Specialty Average (7.9 Years) 7.9 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	35	$248.33	$50.20
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$392.50	$80.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$776.00	$154.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$386.40	$80.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$243.67	$53.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$776.00	$154.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$544.08	$119.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$378.81	$83.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$234.35	$53.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$536.00	$109.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$723.27	$158.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$337.86	$87.54
99443 Telephone medical discussion with physician, 21-30 minutes	20	17	$485.80	$124.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$481.79	$123.89

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA3745

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Brigham And Womens Physicians Organization Inc

75 Francis St, Boston, MA 021156110

Phone: 6177325500

Brigham And Womens Physicians Organization Inc

1153 Centre St, Jamaica Plain, MA 021303446

Phone: 6179837000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Bridget Babich-Wydysh , PA-C

Physician Assistant

NPI 1003383506