John Falcone, M.D.
NPI 1558566273 · Surgery Physician · Owensboro, KY
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Falcone, M.D. is a Surgery Physician provider in Owensboro, KY (NPI 1558566273).
Provider details
- NPI number
- 1558566273
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01073242A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
701 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 176 | $85 |
| 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'SG2211 | 86 | $16 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 73 | $76 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 57 | $47 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 56 | $125 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 119 | 24 |
| Metoclopramide Hcl | 96 | 93 |
| Pantoprazole Sodium | 90 | 27 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 69 | 61 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 58 | 58 |
| Apixabanbrand: Eliquis | 35 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$214 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2023-11-27
- Certified
- 2020-06-26
Frequently asked questions
- What is John Falcone's NPI number?
- John Falcone's National Provider Identifier (NPI) is 1558566273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Falcone's specialty?
- John Falcone is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is John Falcone located?
- John Falcone's practice location on file with NPPES is 2801 New Hartford Rd, Owensboro, KY 42303-1320.
- What is John Falcone's phone number?
- The practice phone number listed in the NPPES registry for John Falcone is (270) 683-3720.
- Does John Falcone accept Medicare?
- John Falcone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Falcone's NPI active?
- Yes — John Falcone's NPI (1558566273) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.