Active NPI 1235193848 Individual Practitioner Male Practitioner

Dr. Robert J Falconer , MD

Surgery • Palestine, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Falconer, MD is a certified Surgery practicing in Palestine, TX. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Falconer delivers high-quality medical care to the local community at 123 MEDICAL DR.

Dr. Falconer accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level 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

123 Medical Dr
Suite A

Palestine, TX 758018510

Telephone 9037296010

Fax 9037296886

Associated Practice Facility / Clinic

🏢 Robert J. Falconer, Md, Pa Facility NPI 1487784690

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Palestine, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Palestine, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Falconer (31 Years) 31 Yrs

Palestine Specialty Average (21.0 Years) 21.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$193.00	$105.36
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$107.00	$86.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$271.00	$120.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$78.00	$53.78
45380 Biopsy of large bowel using an endoscope	18	18	$1418.00	$179.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$104.00	$47.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$193.00	$107.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	35	$78.00	$54.03
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$125.00	$68.24
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$107.75	$86.44
45380 Biopsy of large bowel using an endoscope	22	22	$1418.00	$166.10
45378 Diagnostic exam of large bowel using a flexible endoscope	18	17	$1230.00	$156.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$271.00	$124.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1123.00	$91.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	99	98	$125.00	$70.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	55	$78.70	$54.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$271.00	$129.46
45378 Diagnostic exam of large bowel using a flexible endoscope	25	24	$1230.00	$159.04
45380 Biopsy of large bowel using an endoscope	23	23	$1418.00	$168.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$104.00	$36.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$1123.00	$101.75
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$701.54	$81.15

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	93	69	$78.00	$54.77
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$125.00	$70.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$271.00	$131.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	17	$104.00	$37.20
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	26	23	$748.00	$82.00
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$208.00	$97.06
45378 Diagnostic exam of large bowel using a flexible endoscope	19	18	$1230.00	$175.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$1123.00	$89.20
45380 Biopsy of large bowel using an endoscope	18	18	$1439.06	$154.72

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	101	80	$78.00	$43.88
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$125.00	$73.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	53	$271.00	$135.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	21	$104.00	$38.66
45380 Biopsy of large bowel using an endoscope	23	23	$1418.00	$152.12
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	20	$748.00	$85.21
45378 Diagnostic exam of large bowel using a flexible endoscope	19	18	$1230.00	$180.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$1123.00	$90.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$193.00	$104.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	98	98	$125.68	$72.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	74	$78.48	$42.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	32	$271.00	$133.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	18	$104.00	$38.30
45380 Biopsy of large bowel using an endoscope	29	29	$1418.00	$171.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$193.00	$101.56

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	108	80	$78.87	$40.86
99202 New patient office or other outpatient visit, typically 20 minutes	88	88	$125.00	$70.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$193.00	$100.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$271.00	$127.12
45380 Biopsy of large bowel using an endoscope	26	25	$1418.00	$195.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$104.00	$37.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$152.00	$68.89
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1230.00	$179.99
49505 Repair of groin hernia (5 years or older)	13	13	$2192.62	$511.54
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	11	11	$1504.00	$237.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	111	111	$125.00	$66.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	85	$79.79	$38.82
45380 Biopsy of large bowel using an endoscope	48	46	$1418.00	$184.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$193.00	$96.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	27	$50.00	$17.87
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1230.00	$169.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$271.00	$124.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$104.00	$35.61
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	12	$748.00	$111.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1123.00	$105.01
49505 Repair of groin hernia (5 years or older)	11	11	$2776.36	$516.33
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2546.00	$297.77

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L4830

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 - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License TX L4830

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

154186401 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

James Davis , MED PT

Physical Therapist

NPI 1902898109

MEDPT

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2007

Registered at 123 MEDICAL DR, SUITE A, PALESTINE, TX 758018510 (Tel: 9037296010)

📍

Updated Business Mailing Address November 02, 2007

Registered at 123 MEDICAL DR, SUITE A, PALESTINE, TX 758018510 (Tel: 9037296010)

👤

Provider Name / Credentials Updated November 02, 2007

Recorded as ROBERT FALCONER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Surgery (License #L4830 in TX)

🟢

Initial NPI Registration & Enumeration April 12, 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: 1235193848

Entity Type:

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

Enumeration Date: April 12, 2006

Last Update: November 02, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

123 Medical Dr, Suite A

Palestine, TX 758018510

Phone: 9037296010

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.