Active NPI 1952379240 Individual Practitioner Male Practitioner

Dr. Joseph Richard Falcon , MD PC

Plastic Surgery • Natrona Heights, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Falcon, MD PC is a certified Plastic Surgery practicing in Natrona Heights, PA. With approximately 49 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1977, Dr. Falcon delivers high-quality medical care to the local community at 2913 FREEPORT RD.

Dr. Falcon accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2913 Freeport Rd

Natrona Heights, PA 15065

Telephone 7242263900

Fax 7242244004

Associated Practice Facility / Clinic

🏢 Tri-County Outpatient Surgical Facility, Inc. Facility NPI 1679542419

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Natrona Heights, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +15.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Natrona Heights, PA (239 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Falcon (49 Years) 49 Yrs

Natrona Heights Specialty Average (34.0 Years) 34.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	93	$200.00	$114.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	82	$85.00	$49.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$300.00	$147.87
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$130.00	$80.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	37	34	$531.00	$112.39
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	26	24	$531.00	$113.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$205.00	$100.21
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$374.00	$64.37
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	19	$580.00	$105.69
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	16	$300.00	$50.70
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	16	$410.00	$108.77
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	17	15	$625.00	$163.46
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$357.00	$65.66
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	13	13	$450.00	$126.92
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	12	12	$474.00	$68.76
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	11	11	$878.00	$277.43

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	94	87	$200.00	$121.54
99213 Established patient office or other outpatient visit, typically 15 minutes	85	74	$130.00	$86.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	78	$85.00	$53.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$300.00	$159.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$205.00	$107.40
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	41	41	$531.00	$126.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	30	$531.00	$140.08
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	24	$374.00	$72.81
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	22	22	$410.00	$105.16
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	19	$357.00	$71.16
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	17	17	$580.00	$117.89
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	13	11	$625.00	$158.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$287.00	$125.56

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	126	97	$200.00	$123.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$300.00	$161.64
99213 Established patient office or other outpatient visit, typically 15 minutes	57	45	$130.00	$88.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	42	$85.00	$54.65
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	29	$531.00	$116.38
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	20	19	$580.00	$120.05
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	18	18	$878.00	$300.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$205.00	$109.06
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	13	$531.00	$106.67
11104 Punch biopsy, first skin growth	12	12	$475.00	$123.83
11102 Tangential biopsy of single skin lesion	12	12	$375.00	$99.89
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$300.00	$61.16

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	172	118	$201.45	$126.86
99213 Established patient office or other outpatient visit, typically 15 minutes	96	75	$132.07	$89.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$300.61	$164.69
11104 Punch biopsy, first skin growth	49	47	$436.43	$126.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	27	$541.81	$130.03
11105 Punch biopsy, each additional skin growth	18	17	$224.78	$59.52
11102 Tangential biopsy of single skin lesion	15	15	$375.00	$101.25
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	15	12	$890.20	$280.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.67	$109.95

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	143	104	$225.70	$106.75
11104 Punch biopsy, first skin growth	56	54	$353.45	$122.27
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$161.00	$73.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$417.79	$204.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	36	$314.38	$143.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$313.00	$162.28
11105 Punch biopsy, each additional skin growth	23	18	$213.57	$59.02
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$731.00	$104.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$368.00	$137.11

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	39	35	$250.00	$105.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$528.00	$201.32
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$172.46	$71.81
11104 Punch biopsy, first skin growth	13	13	$623.00	$119.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$375.00	$141.39

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA MD021036E

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1024096630002 (PA)

Medicaid State Provider ID

1024096630001 (PA)

Commercial Insurance / Payer ID Health America

21946 (PA)

Commercial Insurance / Payer ID Highmark

001456167 (PA)

Commercial Insurance / Payer ID Bravo

13669 (PA)

Commercial Insurance / Payer ID Upmc Health Plan

103922 (PA)

Commercial Insurance / Payer ID Rr Med

240003045 (PA)

Commercial Insurance / Payer ID Independence Bc/bs

2146596000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Christine Falcon , CRNP

Nurse Practitioner - Family

NPI 1720842388

Certified Registered Nurse Practitioner

Dr. Christopher Falcon , DO

Plastic Surgery

NPI 1851582332

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2011

Registered at 2913 FREEPORT RD, NATRONA HEIGHTS, PA 15065 (Tel: 7242263900)

📍

Updated Business Mailing Address January 21, 2011

Registered at 2913 FREEPORT RD, NATRONA HEIGHTS, PA 15065 (Tel: 7242263900)

👤

Provider Name / Credentials Updated January 21, 2011

Recorded as JOSEPH FALCON, MD PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2011

Plastic Surgery (License #MD021036E in PA)

🟢

Initial NPI Registration & Enumeration March 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952379240

Entity Type:

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

Enumeration Date: March 10, 2006

Last Update: January 21, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2913 Freeport Rd

Natrona Heights, PA 15065

Phone: 7242263900

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

⚠️ Medical Disclaimer

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