NPI registry status
Active
2026 NPPES data Plastic Surgery Physician NPI 1952379240 MD PC
Verify on CMS → Joseph Falcon, MD PC
Plastic Surgery Physician in Natrona Heights, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,322 in Plastic Surgery 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
37
Medicare Part D claims · Plastic Surgery Physician avg: 84
MIPS score
50/100
▼ 34 pts below national avg 83.5 · Mid-tier
What the federal data shows
Joseph Falcon, MD PC reported a CMS MIPS final score of 50/100 - below the 83.5 national average - and filed 37 Medicare Part D claims in 2023.
- 50/100
- MIPS score · -33 vs avg
- 37
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥5th
- 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.
Joseph Falcon, MD PC'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.
50 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands
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 Joseph Falcon, MD PC sits
This provider among plastic surgery physician peers
Across the 534 plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Falcon, MD PC writes more Part D claims than 35% of them and scores higher on MIPS quality than 7% - 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
Each dot is one plastic surgery physician peer from a representative sample of 60; the gold marker is Joseph Falcon, MD PC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Joseph Falcon, MD PC practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Joseph Falcon, MD PC?
Below national averagePrimary specialty
Plastic Surgery Physician
Medicare Part D claims
37 56% vs specialty avg
MIPS final score
50/100 33.5 pts vs avg
Specialty distribution in Pennsylvania
How Plastic Surgery Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Joseph Falcon, MD PC's 2023 MIPS final score plotted against the Plastic Surgery Physician national average
- MIPS Final Score
- 50/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Plastic Surgery Physician) - 50/100 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).
Joseph Falcon, MD PC appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding MD PC credentials at 2913 FREEPORT RD, Natrona Heights, PA, 15065, with a listed phone of (724) 226-3900. NPI 1952379240 was issued on 03/10/2006.
Medicare Part D records for calendar year 2023 show 37 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $19K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 50/100 for the 2023 performance year (Quality 0), compared with the 83.5 average among clinicians with a measured score.
Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,322 enrolled providers across 52 states and an average of 84 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 | 1952379240 |
|---|---|
| Specialty | Plastic Surgery Physician |
| Credentials | MD PC |
| Gender | Male |
| NPI Issued | 03/10/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
50
Final Score
Measured-score avg: 83.5
0
Quality
Reporting: Group practice
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Joseph Falcon, MD PC. To verify Joseph Falcon, MD PC's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
37
Total Claims
$19K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 75
- Total Day Supply
- 1,943
- Generic Drug Cost
- $969
Patient Demographics
- Average Patient Age
- 77.1 years
- Avg HCC Risk Score
- 1.31
Plastic Surgery Physician Overview
How Joseph Falcon, MD PC fits within the Plastic Surgery Physician landscape nationally.
5,322
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider
Joseph Falcon, MD PC's 37 claims are below the specialty average of 84.
Nearby Plastic Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Falcon.
Dr. Kendra Ackerman
PA-C
Philadelphia, PA
Dr. David Adcock
M.D.
Wilkes Barre, PA
Dr. Shagun Aggarwal
M.D.
Philadelphia, PA
Dr. Nicholas Albano
M.D.
Bethlehem, PA
Dr. Oluseyi Aliu
M.D.
Pittsburgh, PA
Compare Plastic Surgery 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Plastic Surgery 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 Joseph Falcon, MD PC's specialty? ▼
Joseph Falcon, MD PC specializes in Plastic Surgery Physician and practices in Natrona Heights, Pennsylvania. Credentials: MD PC.
How much does Joseph Falcon, MD PC prescribe under Medicare Part D? ▼
In 2023, Joseph Falcon, MD PC wrote 37 Medicare Part D claims totaling $19K in drug costs for N/A beneficiaries.
What is Joseph Falcon, MD PC's Medicare quality score? ▼
Joseph Falcon, MD PC has a CMS MIPS Final Score of 50/100 (Quality: 0). 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 Joseph Falcon, MD PC located? ▼
Joseph Falcon, MD PC is located at 2913 FREEPORT RD, Natrona Heights, PA, 15065. Phone: (724) 226-3900.
What is Joseph Falcon, MD PC's NPI number? ▼
Joseph Falcon, MD PC's National Provider Identifier (NPI) is 1952379240, issued on 03/10/2006.
How many Plastic Surgery Physician providers are there in the US? ▼
There are 5,322 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
Does Joseph Falcon, MD PC accept Medicare? ▼
Joseph Falcon, MD PC appears in CMS Medicare data with 37 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Falcon, MD PC's credentials? ▼
Joseph Falcon, MD PC's NPI is 1952379240 with credentials MD PC. 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
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.