2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1639130123 M.D.
Verify on CMS →

CARLOS FALCON MATOS, M.D.

Physical Medicine & Rehabilitation Physician in SAN JUAN, Puerto Rico. 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
250
Medicare Part D claims · 112 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
What the federal data reveals: CARLOS FALCON MATOS, M.D. is a Physical Medicine & Rehabilitation Physician ([object Object]) practicing in SAN JUAN, Puerto Rico with a Medicare Part D prescribing footprint of 250 claims across 112 beneficiaries .

What stands out: CARLOS FALCON MATOS, M.D. filed 250 Medicare Part D claims in 2023 across SAN JUAN, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

CARLOS FALCON MATOS, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

CARLOS FALCON MATOS, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/01/2006

NPI 1639130123

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

250 68% vs specialty avg

2023 prescription claims

Specialty avg: 781

Specialty distribution in Puerto Rico

How Physical Medicine & Rehabilitation Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Physical Medicine & Rehabilitation Physician share within Puerto Rico

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Physical Medicine & Rehabilitation Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physical Medicine & Rehabilitation Physician ABMS/AOA estimate

Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

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 MATOS, M.D. is a Physical Medicine & Rehabilitation Physician provider practicing in SAN JUAN, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1639130123. 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 MATOS, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 216 CALLE PALMA REAL, SAN JUAN, PR, 00927, with a listed phone of (787) 767-0266. NPI 1639130123 was issued on 04/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FALCON MATOS 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 250 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 6.0%. 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.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

216 CALLE PALMA REAL
SAN JUAN, PR 00927

Provider Details

NPI 1639130123
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 04/01/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

250
Total Claims
$5K
Total Drug Cost
112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
282
Total Day Supply
6,478
Generic Drug Cost
$3K
Opioid Claims
15 (6.0% rate)

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.12
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
82
Prednisone
34
Diclofenac Potassium
30
Diclofenac Sodium
11

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

Physical Medicine & Rehabilitation Physician Overview

How CARLOS FALCON MATOS, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

CARLOS FALCON MATOS, M.D.'s 250 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as FALCON MATOS.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS FALCON MATOS, M.D.'s specialty?
CARLOS FALCON MATOS, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in SAN JUAN, Puerto Rico. Credentials: M.D..
How much does CARLOS FALCON MATOS, M.D. prescribe under Medicare Part D?
In 2023, CARLOS FALCON MATOS, M.D. wrote 250 Medicare Part D claims totaling $5K in drug costs for 112 beneficiaries.
Where is CARLOS FALCON MATOS, M.D. located?
CARLOS FALCON MATOS, M.D. is located at 216 CALLE PALMA REAL, SAN JUAN, PR, 00927. Phone: (787) 767-0266.
What is CARLOS FALCON MATOS, M.D.'s NPI number?
CARLOS FALCON MATOS, M.D.'s National Provider Identifier (NPI) is 1639130123, issued on 04/01/2006.
Does CARLOS FALCON MATOS, M.D. prescribe opioids?
Yes, CARLOS FALCON MATOS, M.D. had 15 opioid claims in 2023 with an opioid prescribing rate of 6.0%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does CARLOS FALCON MATOS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CARLOS FALCON MATOS, M.D.'s most frequently prescribed drugs include Gabapentin, Prednisone, Diclofenac Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS FALCON MATOS, M.D. accept Medicare?
CARLOS FALCON MATOS, M.D. appears in CMS Medicare data with 250 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS FALCON MATOS, M.D.'s credentials?
CARLOS FALCON MATOS, M.D.'s NPI is 1639130123 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

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.
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