James W. Falconer

  • Fayetteville, GA
  • Internist
NPI1295704641PAC ID7810073897
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
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Personal email
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Mobile number
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Social profiles

Primary practice

Privia Medical Group of Georgia

Fayetteville, Georgia

See all 16 affiliations

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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 and contact details
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 Georgia
    101 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.

See all 16 affiliations for James Falconer

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.

EHR by site
SiteEHR vendor and product
Privia Medical Group of GeorgiaAvailable with a free account
+10 more sites and 4 medical groupsAvailable 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, GeorgiaPrimaryLicense 044213 · taxonomy 207R00000X

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.

Medicare services, 202410,707
Medicare patients684
Paid by Medicare$304,937
Procedure codes50

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.

See all procedures by James Falconer

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Medicare shows one payer. Book a meeting to get commercial claims data for James Falconer and other internists in Georgia.

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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.

Medicare patients, 2024684
Average age76
Average risk score1.60
Also on Medicaid10%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Chronic kidney disease48%
  4. Arthritis46%
  5. Ischemic heart disease38%
  6. Mood disorders33%
  7. Diabetes32%
  8. 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.

Part D claims, 202415,869
Drugs named by CMS172
Total drug cost$1.1M
Part D patients880

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.

See all prescribing by James Falconer

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

$7.7Kin total
  • 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.

See all payments to James Falconer

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

  1. 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.

  1. Medical schoolBaylor College Of Medicine

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.

Plan types James Falconer accepts, by number of carriers

  1. PPO12
  2. Medicare10
  3. HMO9
  4. EPO5
  5. POS4
  6. Medicaid2

Source: Dmand AI Insurance Network Data

Sources for James W. Falconer's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare 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 percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand 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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