James W. Falconer
- Medicare services, 2024
- 10,707
- Medicare patients, 2024
- 684
- Part D claims, 2024
- 15,869
- Hospital affiliations
- 3
- Industry payments
- $7,658
- Practice address
- 101 Yorktown Dr, Fayetteville, GA 30214
- Practice phone
- Call (770) 460-4285
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Privia Medical Group of Georgia
Fayetteville, Georgia
Find James Falconer's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
James W. Falconer is an internist in Fayetteville, Georgia
James Falconer practices at Privia Medical Group of Georgia in Fayetteville, Georgia.
James Falconer's NPI, 1295704641, was assigned on March 17, 2006. James Falconer graduated from Baylor College Of Medicine in 1996. James Falconer holds Georgia license 044213.
- NPI
- 1295704641NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7810073897
- NPI enumeration date
- March 17, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (770) 460-4285
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 53
- Medical school graduation
- 1996
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
James W. Falconer practices at Privia Medical Group of Georgia in Fayetteville, Georgia
James Falconer's primary practice is Privia Medical Group of Georgia, at 101 Yorktown Dr, Fayetteville, GA 30214 in Fayette County. The practice phone is (770) 460-4285.
- Privia Medical Group of Georgia101 Yorktown Dr, Fayetteville, GA 30214 · Fayette CountyPhone(770) 460-4285
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
James W. Falconer is affiliated with 11 sites of care and 5 medical groups
James Falconer's primary practice is Privia Medical Group of Georgia in Fayetteville, Georgia. James Falconer is also affiliated with Archbold Memorial. The medical group on file is Privia Medical Group, Georgia. Dmand AI also links James Falconer to 2 more hospitals, 4 medical groups, 3 group practices and clinics, 2 home health agencies and 2 hospices, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at James W. Falconer's practice
Dmand AI tracks the electronic health record (EHR) system at each site where James Falconer practices, 10 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Privia Medical Group of Georgia | Available with a free account |
| +10 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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James W. Falconer is one of 3,575 internists in Georgia
Internal medicine is James Falconer's primary specialty in the NPI Registry, under taxonomy code 207R00000X. James Falconer is licensed in Georgia.
Specialties and state licenses
- Internal medicine, GeorgiaPrimary
Clinical focus
Dmand AI lists acid reflux, acute mini-stroke (TIA), acute skin infection, ADHD, alcohol use disorders, alzheimer's disease, aneurysm and anxiety among the conditions James Falconer treats.
Internists near James Falconer
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
James W. Falconer billed Medicare for 10,707 services in 2024
CMS data shows 10,707 Medicare services from James Falconer across 50 procedure codes in 2024, for 684 Medicare patients. Medicare paid $304,937 for them.
James Falconer's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Lab and pathology
- 2023: 3,0152024: 3,33911%
- Drugs given in the office
- 2023: 2,2752024: 1,89317%
- Other services
- 2023: 1,0442024: 1,84877%
- Office and hospital visits
- 2023: 1,6742024: 1,6621%
- Surgery
- 2023: 9422024: 9976%
- Tests and treatments
- 2023: 8512024: 8431%
- Imaging
- 2023: 1132024: 12511%
Where James Falconer's Medicare services took place, 2024
- In an office10,52298%
- In a facility1852%
James Falconer compared with the Georgia median for internists, 2024
- James Falconer
- Georgia median
- Medicare services
- 10,707vs 53620.0 times
- Medicare patients
- 684vs 1943.5 times
- Part D claims
- 15,105vs 33944.6 times
Medians across 3,344 internists in Georgia with Dmand AI profiles that report each measure.
James Falconer's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for James Falconer?
Medicare shows one payer. Book a meeting to get commercial claims data for James Falconer and other internists in Georgia.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
James W. Falconer treated 684 Medicare patients in 2024, average age 76
CMS counts 684 Medicare patients who saw James Falconer in 2024. The largest group is 75 to 84, with 280 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 10% are also on Medicaid. Their average risk score is 1.60, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts James Falconer's median patient age at 72, with 57% women.
James Falconer's Medicare patients by age, 2024
James Falconer's Medicare patients by sex, 2024
- Women35452%
- Men33048%
Chronic conditions among James Falconer's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Chronic kidney disease48%
- Arthritis46%
- Ischemic heart disease38%
- Mood disorders33%
- Diabetes32%
- Depression31%
Share of Medicare patients with each condition. A patient can have several.
James Falconer's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
Patient panel by sex, all payers
- Women57%
- Men43%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
James W. Falconer wrote 15,869 Medicare Part D claims in 2024
In 2024, James Falconer wrote 15,869 Medicare Part D claims for 880 patients. 88% of them were for generic drugs. CMS names the drug for 15,105 of them, across 172 drugs with 11 or more claims each, at $1,074,729 in total drug cost. In 2023, CMS named 15,227 claims across 172 drugs.
James Falconer's Part D claims by kind of drug, 2024
- Generic13,901 claims88%
- Brand-name1,886 claims12%
- Other82 claims1%
James Falconer's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in James Falconer's Part D claims, 2024
- Opioids2%243 of 15,869 claims
- Antibiotics2%334 of 15,869 claims
- Antipsychotics, patients 65 and over1%147 of 15,869 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 15,2272024: 15,1051%
Drugs named by CMS: 172 in 2024, 172 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
James W. Falconer offers telehealth to Medicare patients
James Falconer accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists James Falconer as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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James W. Falconer received $7,658 in industry payments from 2016 to 2025
CMS Open Payments shows 496 general payments to James Falconer from 53 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Novo Nordisk Inc paid the most, $863.
General payments to James Falconer by program year, 2016 to 2025
General payments to James Falconer by kind, 2016 to 2025
- Food and beverage$7,647100%
- Education$100%
Companies that paid James Falconer the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
James W. Falconer has 1 award and honors on record
Dmand AI lists 1 award for James Falconer, most recently CMS Stage 1 EHR in 2014.
Awards and honors for James Falconer
- 2014
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
James W. Falconer graduated from Baylor College Of Medicine
James Falconer graduated from Baylor College Of Medicine in 1996.
- Medical school
Source: Dmand AI Professional Profile Data
James W. Falconer accepts plans from 19 insurance carriers
James Falconer is in network with 19 carriers, including Elevance, Excellus BlueCross BlueShield and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
- Elevance
- Excellus BlueCross BlueShield
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Cigna
- HCSC
- Aetna
- Alliant Health Plans
- +11 more carriersWith a free account
Plan types James Falconer accepts, by number of carriers
- PPO12
- Medicare10
- HMO9
- EPO5
- POS4
- Medicaid2
Source: Dmand AI Insurance Network Data
Sources for James W. Falconer's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about James W. Falconer
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is James W. Falconer's NPI number?
James W. Falconer's NPI number is 1295704641. It was assigned on March 17, 2006, and it is active in the NPI Registry.
What does James W. Falconer specialize in?
James W. Falconer is an internist in Fayetteville, Georgia. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does James W. Falconer practice?
James Falconer practices at 101 Yorktown Dr, Fayetteville, GA 30214. James Falconer's primary practice is Privia Medical Group of Georgia in Fayetteville, Georgia. Dmand AI also links James Falconer to 2 hospitals, 4 medical groups, 3 group practices and clinics, 2 home health agencies and 2 hospices.
What is James W. Falconer's office phone number?
The practice phone on file for James Falconer is (770) 460-4285.
What is James W. Falconer's medical license number?
James Falconer holds Georgia license 044213.
Which hospitals is James W. Falconer affiliated with?
James Falconer is affiliated with Archbold Memorial. Dmand AI links James Falconer to 2 more hospitals.
What medical group is James W. Falconer part of?
James Falconer is linked to Privia Medical Group, Georgia. Dmand AI links James Falconer to 4 more medical groups.
Does James W. Falconer accept Medicare?
Yes. CMS data shows James Falconer billed Medicare for 10,707 services in 2024, and James Falconer accepts Medicare assignment.
Does James W. Falconer offer telehealth?
Yes. The CMS Doctors and Clinicians file lists James Falconer as offering telehealth services.
How many Medicare patients does James W. Falconer see?
CMS counts 684 Medicare patients who saw James Falconer in 2024, with an average age of 76.
Show 6 more questionsShow fewer questions
What services does James W. Falconer bill to Medicare?
In 2024, James Falconer's most billed Medicare services were injected or infused drug (J0897), surgery: heart and blood vessels (36415) and office visit, established patient (99214).
Where did James W. Falconer go to medical school?
James Falconer graduated from Baylor College Of Medicine in 1996.
What drugs does James W. Falconer prescribe most?
In 2024 Medicare Part D data, James Falconer's most prescribed drugs by claims were Atorvastatin Calcium, Losartan Potassium and Amlodipine Besylate.
Has James W. Falconer received payments from drug or device companies?
CMS Open Payments shows $7,658 in general payments to James Falconer from 53 companies from 2016 to 2025. The largest total came from Novo Nordisk Inc.
How long has James W. Falconer been practicing?
James Falconer graduated from medical school in 1996, 30 years ago.
What insurance does James W. Falconer accept?
James Falconer is in network with 19 carriers, including Elevance, Excellus BlueCross BlueShield and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
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