2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1760429369 M.D.
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JOSEPH FALLON, M.D.

Endocrinology, Diabetes & Metabolism Physician in STRATFORD, New Jersey. 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
17K
Medicare Part D claims · 1K beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$2.9K
69 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSEPH FALLON, M.D. is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in STRATFORD, New Jersey with a Medicare Part D prescribing footprint of 17K claims across 1K beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.9K across 69 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSEPH FALLON, M.D. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 17,410 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSEPH FALLON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSEPH FALLON, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/01/2006

NPI 1760429369

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

17,410 560% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among New Jersey providers

New Jersey providers

Endocrinology, Diabetes & Metabolism Physician share within New Jersey

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within New Jersey

Medicare quality performance — MIPS

JOSEPH FALLON, M.D.'s 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 100/100 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).

JOSEPH FALLON, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider practicing in STRATFORD, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1760429369. 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.

JOSEPH FALLON, M.D. appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding M.D. credentials at 42 E LAUREL RD STE 3100-B, STRATFORD, NJ, 08084, with a listed phone of (856) 566-7070. NPI 1760429369 was issued on 06/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FALLON 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 17,410 prescription claims written by this provider, covering 1,280 Medicare beneficiaries and totaling roughly $5.7 million in drug spend, split 36% brand-name and 64% generic by claim count, with an opioid prescribing rate of 0.2%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

42 E LAUREL RD STE 3100-B
STRATFORD, NJ 08084

Provider Details

NPI 1760429369
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials M.D.
Gender Male
NPI Issued 06/01/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSEPH FALLON, M.D. 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.

VIRTUA MEDICAL GROUP, PA
BORDENTOWN, NJ

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOSEPH FALLON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

JOSEPH FALLON, M.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 17,410 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

17,410
Total Claims
$5.7M
Total Drug Cost
1,280
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
44,238
Total Day Supply
1,319,506
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$5.2M
Generic Drug Cost
$371K
Opioid Claims
33 (0.2% rate)
Antibiotic Claims
54

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.33
Gender Split
65% female / 35% male
Age Distribution
<65: 124, 65-74: 560, 75-84: 464, 85+: 132

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
1,672
Synthroid
Levothyroxine Sodium
1,327
Atorvastatin Calcium
968
Glimepiride
724
Metformin Hcl
699
Ezetimibe
580
Ozempic
Semaglutide
432
Trulicity
Dulaglutide
392
Pioglitazone Hcl
352
Jardiance
Empagliflozin
305

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

Endocrinology, Diabetes & Metabolism Physician Overview

How JOSEPH FALLON, M.D. fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

JOSEPH FALLON, M.D.'s 17,410 claims are above the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as FALLON.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH FALLON, M.D.'s specialty?
JOSEPH FALLON, M.D. specializes in Endocrinology, Diabetes & Metabolism Physician and practices in STRATFORD, New Jersey. Credentials: M.D..
How much does JOSEPH FALLON, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH FALLON, M.D. wrote 17,410 Medicare Part D claims totaling $5.7M in drug costs for 1,280 beneficiaries.
What is JOSEPH FALLON, M.D.'s Medicare quality score?
JOSEPH FALLON, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH FALLON, M.D. located?
JOSEPH FALLON, M.D. is located at 42 E LAUREL RD STE 3100-B, STRATFORD, NJ, 08084. Phone: (856) 566-7070.
What is JOSEPH FALLON, M.D.'s NPI number?
JOSEPH FALLON, M.D.'s National Provider Identifier (NPI) is 1760429369, issued on 06/01/2006.
Does JOSEPH FALLON, M.D. prescribe more brand-name or generic drugs?
JOSEPH FALLON, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $5.2M in brand drug costs.
Does JOSEPH FALLON, M.D. prescribe opioids?
Yes, JOSEPH FALLON, M.D. had 33 opioid claims in 2023 with an opioid prescribing rate of 0.2%.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does JOSEPH FALLON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH FALLON, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Synthroid, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH FALLON, M.D. accept Medicare?
JOSEPH FALLON, M.D. appears in CMS Medicare data with 17,410 Part D claims and 1,280 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH FALLON, M.D.'s credentials?
JOSEPH FALLON, M.D.'s NPI is 1760429369 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.
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