NPI registry status
Active
2026 NPPES data Interventional Cardiology Physician NPI 1558534958 M.D.
Verify on CMS → Adam Falcone, M.D.
Interventional Cardiology Physician in Waco, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,400 in Interventional Cardiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 967 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$1.7K
21 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Adam Falcone, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 7,254 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 7K
- Part D claims, 2023
- 83%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Adam Falcone, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Adam Falcone, M.D. sits
This provider among interventional cardiology physician peers
Across the 1,386 interventional cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Adam Falcone, M.D. writes more Part D claims than 89% of them and scores higher on MIPS quality than 92% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one interventional cardiology physician peer from a representative sample of 60; the gold marker is Adam Falcone, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Adam Falcone, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Adam Falcone, M.D.?
High performer (top quartile)Primary specialty
Interventional Cardiology Physician
Medicare Part D claims
7,254 143% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in Texas
How Interventional Cardiology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Adam Falcone, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Interventional Cardiology Physician) - 100/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Adam Falcone, M.D. appears in the CMS NPPES registry as an Interventional Cardiology Physician provider holding M.D. credentials at 7125 NEW SANGER AVE STE A, Waco, TX, 76712, with a listed phone of (254) 399-5400. NPI 1558534958 was issued on 04/07/2008.
Medicare Part D records for calendar year 2023 show 7,254 prescription claims written by this provider, covering 967 Medicare beneficiaries and totaling roughly $981K in drug spend, split 17% brand-name and 83% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.
Interventional Cardiology Physician is a narrow specialty nationwide, with 3,400 enrolled providers across 53 states and an average of 2,984 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1558534958 |
|---|---|
| Specialty | Interventional Cardiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/07/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Adam Falcone, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Cardiac Cath Lab OF Waco LP
Waco, TX
Waco Cardiology Associates
Hillsboro, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Adam Falcone, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
ShockWave Medical, Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Adam Falcone, M.D.. To verify Adam Falcone, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Adam Falcone, M.D. - brand share 17.0%
Interventional Cardiology Physician average
17% brand-name claims vs 83% generic, on 7,254 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
7,254
Total Claims
$981K
Total Drug Cost
967
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 15,825
- Total Day Supply
- 471,918
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $855K
- Generic Drug Cost
- $126K
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 1.54
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 88, 65-74: 392, 75-84: 348, 85+: 139
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Adam Falcone, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Eliquis
Eliquis
673 claims
- Atorvastatin Calcium
Atorvastatin Calcium
575 claims
- Amlodipine Besylate
Amlodipine Besylate
485 claims
- Carvedilol
Carvedilol
462 claims
- Clopidogrel
Clopidogrel
406 claims
- Metoprolol Tartrate
Metoprolol Tartrate
404 claims
- Furosemide
Furosemide
333 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
306 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 673 |
| Atorvastatin Calcium | 575 |
| Amlodipine Besylate | 485 |
| Carvedilol | 462 |
| Clopidogrel Clopidogrel Bisulfate | 406 |
| Metoprolol Tartrate | 404 |
| Furosemide | 333 |
| Rosuvastatin Calcium | 306 |
| Losartan Potassium | 293 |
| Isosorbide Mononitrate Er Isosorbide Mononitrate | 288 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Interventional Cardiology Physician Overview
How Adam Falcone, M.D. fits within the Interventional Cardiology Physician landscape nationally.
3,400
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider
Adam Falcone, M.D.'s 7,254 claims are above the specialty average of 2,984.
Nearby Interventional Cardiology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Falcone.
Dr. John Naeim Nakhla Abdelmalek
MD
Lubbock, TX
Dr. Ashraf Abusara
MD
Victoria, TX
Dr. John Adan
MD
El Paso, TX
Dr. Tayo Addo
MD
Dallas, TX
Mohammed Ahmed
McAllen, TX
Compare Interventional Cardiology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Interventional Cardiology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Adam Falcone, M.D.'s specialty? ▼
Adam Falcone, M.D. specializes in Interventional Cardiology Physician and practices in Waco, Texas. Credentials: M.D..
How much does Adam Falcone, M.D. prescribe under Medicare Part D? ▼
In 2023, Adam Falcone, M.D. wrote 7,254 Medicare Part D claims totaling $981K in drug costs for 967 beneficiaries.
What is Adam Falcone, M.D.'s Medicare quality score? ▼
Adam Falcone, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Adam Falcone, M.D. located? ▼
Adam Falcone, M.D. is located at 7125 NEW SANGER AVE STE A, Waco, TX, 76712. Phone: (254) 399-5400.
What is Adam Falcone, M.D.'s NPI number? ▼
Adam Falcone, M.D.'s National Provider Identifier (NPI) is 1558534958, issued on 04/07/2008.
Does Adam Falcone, M.D. prescribe more brand-name or generic drugs? ▼
Adam Falcone, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $855K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US? ▼
There are 3,400 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does Adam Falcone, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Adam Falcone, M.D.'s most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Adam Falcone, M.D. accept Medicare? ▼
Adam Falcone, M.D. appears in CMS Medicare data with 7,254 Part D claims and 967 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Adam Falcone, M.D.'s credentials? ▼
Adam Falcone, M.D.'s NPI is 1558534958 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.