Doctor profile · Federal record
Dr. Derek Falkenstein, PT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Fairmont, WV
- NPI 1326097544
- Accepts Medicare
- MIPS 91.0 / 100 · 2023
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1509 Fairmont Avenue
Fairmont, WV 265541346
(304) 363-0050
fax (304) 363-0048
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- July 10, 2008
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- West Virginia #1189
- Medicaid
- WV #3810005585
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1326097544. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
5,430
Distinct HCPCS
9
Medicare allowed
$132,502
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97140 |
Therapy procedure using manual technique, each 15 minutes | 1,726 | 103 | $20 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,524 | 120 | $28 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,348 | 123 | $22 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 351 | 35 | $9 | |
97530 |
Therapy procedure using functional activities | 267 | 77 | $34 | |
97116 |
Therapy procedure for walking training, each 15 minutes | 107 | 15 | $22 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 52 | 47 | $95 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 42 | 38 | $95 | |
97163 |
Evaluation for physical therapy, typically 45 minutes | 13 | 13 | $89 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 406. This provider delivers 13× the peer median.Frequently asked questions
What is Dr. Derek Falkenstein's medical specialty?
Dr. Derek Falkenstein practices Physical Therapist in Fairmont, WV.
Where does Dr. Derek Falkenstein practice?
Dr. Derek Falkenstein practices at 1509 Fairmont Avenue, Fairmont, WV 265541346. Office phone: 3043630050.
What is Dr. Derek Falkenstein's NPI?
Dr. Derek Falkenstein's National Provider Identifier (NPI) is 1326097544, issued by NPPES.
Does Dr. Derek Falkenstein accept Medicare assignment?
Yes. Dr. Derek Falkenstein accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derek Falkenstein commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using manual technique (HCPCS 97140); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.