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. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
269
Medicare Part D claims · 183 beneficiaries · Basic Emergency Medical Technician avg: 341
MIPS score
77.8186/100
▼ 5 pts below national avg 83.1 · [object Object]
What the federal data reveals: CARLOS FALCON, MD is a Basic Emergency Medical Technician ([object Object]) practicing in WEST BURLINGTON, Iowa with a Medicare Part D prescribing footprint of 269 claims across 183 beneficiaries . Their CMS MIPS Final Score of 77.8186/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CARLOS FALCON, MD reported a CMS MIPS final score of 77.8186 out of 100, below the 83.1 national average, and filed 269 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CARLOS FALCON, MD at a glance

Below national average

NPI registry status

Active

Issued 11/18/2005

NPI 1619959277

Primary specialty

Basic Emergency Medical Technician

Niche

2,039 US NPIs in this specialty

Medicare Part D claims

269 21% vs specialty avg

2023 prescription claims

Specialty avg: 341

MIPS final score

77.8186/100 5.281399999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Iowa

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

Iowa providers

Basic Emergency Medical Technician share within Iowa

1. Basic Emergency Medical Technician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Basic Emergency Medical Technician share within Iowa

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
77.8186/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Basic Emergency Medical Technician) — 77.8186/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Basic Emergency Medical Technician) — 77.8186/100 vs national avg 83.1

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).

CARLOS FALCON, MD is a Basic Emergency Medical Technician provider practicing in WEST BURLINGTON, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1619959277. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CARLOS FALCON, MD appears in the CMS NPPES registry as a Basic Emergency Medical Technician provider holding MD credentials at 1221 S GEAR AVE, WEST BURLINGTON, IA, 52655, with a listed phone of (319) 768-3628. NPI 1619959277 was issued on 11/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FALCON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 269 prescription claims written by this provider, covering 183 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 16.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.8186/100 for the 2023 performance year (Quality 67.6256, Cost 58.4365), compared with the national average of 83.1.

Basic Emergency Medical Technician is a narrow specialty nationwide, with 2,039 enrolled providers across 52 states and an average of 341 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

1221 S GEAR AVE
WEST BURLINGTON, IA 52655

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
Avg: 83.1
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 2023.

269
Total Claims
$4K
Total Drug Cost
183
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
286
Total Day Supply
3,090
Generic Drug Cost
$3K
Opioid Claims
44 (16.4% rate)
Antibiotic Claims
67

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.50
Gender Split
58% female / 42% male
Age Distribution
<65: 45, 65-74: 73, 75-84: 44, 85+: 21

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Prednisone
36
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
35
Ciprofloxacin Hcl
24
Ondansetron Odt
Ondansetron
16
Cyclobenzaprine Hcl
13
Levofloxacin
11
Progesterone
"Progesterone
N/A

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

Basic Emergency Medical Technician Overview

How CARLOS FALCON, MD fits within the Basic Emergency Medical Technician landscape nationally.

2,039
Basic Emergency Medical Technician Providers in US
52
States with Basic Emergency Medical Technician
341
Avg Claims per Provider

CARLOS FALCON, MD's 269 claims are below the specialty average of 341.

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.

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 2023, CARLOS FALCON, MD wrote 269 Medicare Part D claims totaling $4K in drug costs for 183 beneficiaries.
What is CARLOS FALCON, MD's Medicare quality score?
CARLOS FALCON, MD has a CMS MIPS Final Score of 77.8186/100 (Quality: 67.6256, Cost: 58.4365). The national average MIPS Final Score is 83.1. 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 44 opioid claims in 2023 with an opioid prescribing rate of 16.4%.
How many Basic Emergency Medical Technician providers are there in the US?
There are 2,039 Basic Emergency Medical Technician providers across 52 states in the US. The average Basic Emergency Medical Technician provider writes 341 Medicare Part D claims per year.
What drugs does CARLOS FALCON, MD prescribe most often?
Based on 2023 Medicare Part D data, CARLOS FALCON, MD's most frequently prescribed drugs include Prednisone, Hydrocodone-Acetaminophen, Ciprofloxacin Hcl. 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 269 Part D claims and 183 Medicare beneficiaries in 2023. 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

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