2026 NPPES data Family Medicine Physician NPI 1427288018 MD
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Gilbert Falcon, MD

Family Medicine Physician in Belcourt, North Dakota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 147,640 in Family Medicine 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
215
Medicare Part D claims · 66 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
53.9/100
▼ 29 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Gilbert Falcon, MD reported a CMS MIPS final score of 53.9/100 — below the 83.1 national average — and filed 215 Medicare Part D claims in 2023.

53.9/100
MIPS score · -29 vs avg
215
Part D claims, 2023
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.

Gilbert Falcon, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

54 5th percentile higher than 5% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Gilbert Falcon, MD sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gilbert Falcon, MD writes more Part D claims than 13% of them and scores higher on MIPS quality than 6% — placing this provider in the lower-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 92Gilbert Falcon, MD — Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Gilbert Falcon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Gilbert Falcon, MD 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 Gilbert Falcon, MD?

Below national average

NPI registry status

Active

Issued 07/17/2009

NPI 1427288018

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

215 94% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

53.9/100 29.2 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in North Dakota

How Family Medicine Physician compares to other specialties among North Dakota providers

North Dakota providers

Largest specialties in North Dakota (% of in-state providers)

Personal Care Attendant — 7.3%Personal Care Attendant7.3%Case Manager/Care Coordinator — 6.4%Case Manager/Care Coordinator6.4%Physical Therapist — 4.7%Physical Therapist4.7%Speech-Language Pathologist — 4.6%Speech-Language Pathologist4.6%Registered Nurse — 4.2%Registered Nurse4.2%Social Worker — 4.1%Social Worker4.1%Family Medicine Physician — 2.8%Family Medicine Physician2.8%
Largest specialties in North Dakota (% of in-state providers)

Medicare quality performance — MIPS

Gilbert Falcon, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
53.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 53.9/100 vs national avg 83.1

0%100%National avg83%53.9%
MIPS final score (Family Medicine Physician) — 53.9/100 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).

Gilbert Falcon, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1300 HOSPITAL LOOP, Belcourt, ND, 58316, with a listed phone of (701) 477-6111. NPI 1427288018 was issued on 07/17/2009. 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 215 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $41K in drug spend, with an opioid prescribing rate of 7.0%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 53.9/100 for the 2023 performance year (Quality 76.3, Cost 36.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1300 HOSPITAL LOOP
Belcourt, ND 58316

Provider Details

NPI 1427288018
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/17/2009

CMS Quality Score (MIPS)

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

53.8823
Final Score
Avg: 83.1
76.2589
Quality
36.6822
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Gilbert Falcon, MD 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.

Quentin N Burdick Comprehensive Health Care Facility
Belcourt, ND
University OF North Dakota
Minot, ND

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

215
Total Claims
$41K
Total Drug Cost
66
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
272
Total Day Supply
6,994
Generic Drug Cost
$3K
Opioid Claims
15 (7.0% rate)
Antibiotic Claims
22

Patient Demographics

Average Patient Age
61.9 years
Avg HCC Risk Score
2.01
Gender Split
44% female / 56% male
Age Distribution
<65: 29, 65-74: 27, 75-84: N/A, 85+: N/A

Family Medicine Physician Overview

How Gilbert Falcon, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Gilbert Falcon, MD's 215 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in North Dakota

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

Compare Family Medicine 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 North Dakota medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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.

Frequently Asked Questions

What is Gilbert Falcon, MD's specialty?
Gilbert Falcon, MD specializes in Family Medicine Physician and practices in Belcourt, North Dakota. Credentials: MD.
How much does Gilbert Falcon, MD prescribe under Medicare Part D?
In 2023, Gilbert Falcon, MD wrote 215 Medicare Part D claims totaling $41K in drug costs for 66 beneficiaries.
What is Gilbert Falcon, MD's Medicare quality score?
Gilbert Falcon, MD has a CMS MIPS Final Score of 53.9/100 (Quality: 76.3, Cost: 36.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gilbert Falcon, MD located?
Gilbert Falcon, MD is located at 1300 HOSPITAL LOOP, Belcourt, ND, 58316. Phone: (701) 477-6111.
What is Gilbert Falcon, MD's NPI number?
Gilbert Falcon, MD's National Provider Identifier (NPI) is 1427288018, issued on 07/17/2009.
Does Gilbert Falcon, MD prescribe opioids?
Yes, Gilbert Falcon, MD had 15 opioid claims in 2023 with an opioid prescribing rate of 7.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does Gilbert Falcon, MD accept Medicare?
Gilbert Falcon, MD appears in CMS Medicare data with 215 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gilbert Falcon, MD's credentials?
Gilbert Falcon, MD's NPI is 1427288018 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

Compiled from official public sources by the PlainDoctor editorial team.