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2026 NPPES data Basic Emergency Medical Technician NPI 1619959277 MD
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Carlos Falcon, MD

Basic Emergency Medical Technician in West Burlington, Iowa.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,237 in Basic Emergency Medical Technician, 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
288
Medicare Part D claims · 197 beneficiaries · Basic Emergency Medical Technician avg: 420
MIPS score
77.8/100
▼ 6 pts below national avg 83.5 · Above neutral
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Compiled from official public sources by the editorial process.

What the federal data shows

Carlos Falcon, MD reported a CMS MIPS final score of 77.8/100 - below the 83.5 national average - and filed 288 Medicare Part D claims in 2024.

77.8/100
MIPS score · -6 vs avg
288
Part D claims, 2024
≥20th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Carlos Falcon, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1619959277), first enumerated 11/18/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 288 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 77.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1619959277 · Basic Emergency Medical Technician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1619959277
  • ENUM-LEGACY 2005
  • TAX-NARROW 2,237
  • MIPS-BELOW 77.8/100
  • RX-LIGHT 288
  • BOOK-THIN 11 in Iowa
  • PHOTO-FINISH Anthony Firetto, PA-C · ±0.3

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Carlos Falcon, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

78 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Carlos Falcon, MD sits

This provider among basic emergency medical technician peers

Across the 19 basic emergency medical technician providers who report both Medicare Part D prescribing and a MIPS quality score, Carlos Falcon, MD writes more Part D claims than 68% of them and scores higher on MIPS quality than 21% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.749.474.098.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 56Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 94Point, Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 11 · MIPS quality, percentile: 6Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 44Point, Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 61 · MIPS quality, percentile: 94Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 89 · MIPS quality, percentile: 11Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 89Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 39Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 39 · MIPS quality, percentile: 61Carlos Falcon, MD, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 21
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one basic emergency medical technician peer from a representative sample of 18; the gold marker is Carlos Falcon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Carlos Falcon, MD?

Below national average

NPI registry status

Active

Issued 11/18/2005

NPI 1619959277

Primary specialty

Basic Emergency Medical Technician

Niche

2,237 US NPIs in this specialty

Medicare Part D claims

288 31% vs specialty avg

2024 prescription claims

Specialty avg: 420

MIPS final score

77.8/100 5.7 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Iowa

How Basic Emergency Medical Technician compares to other specialties among Iowa providers

Iowa providers
Pharmacist6.5%Physical Therapist5.4%Mental Health Counselor5%Family Medicine Physician4.7%Clinical Social Worker4.2%Chiropractor4.1%Basic Emergency Medical Tech…0%
Largest specialties in Iowa (% of in-state providers)

Medicare quality performance, MIPS

Carlos Falcon, MD's 2023 MIPS final score plotted against the Basic Emergency Medical Technician national average

Below national average
MIPS Final Score
77.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.8%
MIPS final score (Basic Emergency Medical Technician) - 77.8/100 vs national avg 83.5
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).

Practice Address

1221 S GEAR AVE
West Burlington, IA 52655
(319) 768-3628

Provider Details

NPI 1619959277
Specialty Basic Emergency Medical Technician
Credentials MD
Gender Male
NPI Issued 11/18/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.8186
Final Score
Measured-score avg: 83.5
67.6256
Quality
58.4365
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

288
Total Claims
$3K
Total Drug Cost
197
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
308.833
Total Day Supply
3,646
Generic Drug Cost
$3K
Opioid Claims
34 (11.8% rate)
Antibiotic Claims
71

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.65
Gender Split
57% female / 43% male
Age Distribution
<65: 42, 65-74: 81, 75-84: 55, 85+: 19

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Carlos Falcon, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisone
 45
Ciprofloxacin Hcl
 35
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
28
Progesterone
Progesterone, Micronized
25
Cyclobenzaprine Hcl
 17
Ondansetron Odt
Ondansetron
14
Ibuprofen
 12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Basic Emergency Medical Technician in IA → All providers in Iowa → Compare specialties →

Basic Emergency Medical Technician Overview

How Carlos Falcon, MD fits within the Basic Emergency Medical Technician landscape nationally.

2,237
Basic Emergency Medical Technician Providers in US
52
States with Basic Emergency Medical Technician
420
Avg Claims per Provider

Carlos Falcon, MD's 288 claims are below the specialty average of 420.

Nationwide Basic Emergency Medical Technician peers with similar MIPS or enrollment year

Two federal-record peer sets for Falcon, both outside Iowa so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.8 here).

Anthony Firetto 77.5 PA Gillian Hepburn 76.2 CT Tanner Cavanaugh 75 CA Judson Mead 83.3 ID

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Debbie Naugle Hamburg, PA John Scheirer Reading, PA Dianne Becker Plainville, KS Richard Clattenburg Perkinsville, VT

Nearby Basic Emergency Medical Technician Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Falcon.

One of 11 Basic Emergency Medical Technician providers enrolled in Iowa, 5 are shown here.

Shelly Adkison
RN
Fairfield, IA
Dr. Gerald Arnold
MD
West Burlington, IA
Leo Banwart
PA-C
West Burlington, IA
Michele Devlin
DRPH, EMT
Cedar Falls, IA
Chad Enich
PA C
Urbandale, IA

Compare Basic Emergency Medical Technician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Carlos Falcon, MD's specialty? ▼
Carlos Falcon, MD specializes in Basic Emergency Medical Technician and practices in West Burlington, Iowa. Credentials: MD.
How much does Carlos Falcon, MD prescribe under Medicare Part D? ▼
In 2024, Carlos Falcon, MD wrote 288 Medicare Part D claims totaling $3K in drug costs for 197 beneficiaries.
What is Carlos Falcon, MD's Medicare quality score? ▼
Carlos Falcon, MD has a CMS MIPS Final Score of 77.8/100 (Quality: 67.6, Cost: 58.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carlos Falcon, MD located? ▼
Carlos Falcon, MD is located at 1221 S GEAR AVE, West Burlington, IA, 52655. Phone: (319) 768-3628.
What is Carlos Falcon, MD's NPI number? ▼
Carlos Falcon, MD's National Provider Identifier (NPI) is 1619959277, issued on 11/18/2005.
Does Carlos Falcon, MD prescribe opioids? ▼
Yes, Carlos Falcon, MD had 34 opioid claims in 2024 with an opioid prescribing rate of 11.8%.
How many Basic Emergency Medical Technician providers are there in the US? ▼
There are 2,237 Basic Emergency Medical Technician providers across 52 states in the US. The average Basic Emergency Medical Technician provider writes 420 Medicare Part D claims per year.
What drugs does Carlos Falcon, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Carlos Falcon, MD's most frequently prescribed drugs include Prednisone, Ciprofloxacin Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Falcon, MD accept Medicare? ▼
Carlos Falcon, MD appears in CMS Medicare data with 288 Part D claims and 197 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Falcon, MD's credentials? ▼
Carlos Falcon, MD's NPI is 1619959277 with credentials MD. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.