NPPES file of Aug 9, 2026

Michael Falcone, M.D.

Physical Medicine & Rehabilitation Physician · Hammonton, NJ

Michael Falcone, M.D. is a physical medicine & rehabilitation physician with a practice address in Hammonton, New Jersey, and NPI 1689787129, issued on Aug 17, 2006. Check the license (New Jersey 25MA07198100, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1689787129
Name
Michael Falcone
Credential
M.D.
Primary taxonomy
Physical Medicine & Rehabilitation Physician 208100000X
License number
25MA07198100 NJ
Self-reported in NPPES; status is on the state search
Practice location
373 S White Horse Pike, Hammonton, NJ 08037
Phone
(609) 567-9233
Enumerated
Aug 17, 2006
Record last updated
Dec 5, 2012 (not updated in 14 years: call before relying on the address or phone)
Medicaid ID
8526401 NJ
Medicare enrollment
Enrolled (PECOS I20040804000024); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 373 S White Horse Pike

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Maria Cassetta, OTR/LOccupational Therapist1801326996
  2. Lauren Houck, PTPhysical Therapist1023545597
  3. Xitlalichomiha O'Dell, DOFamily Medicine Physician1619282985
  4. Heather SmithPhysical Therapist1063940310

Verify Michael Falcone in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA07198100
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

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96% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024

30 Medicare Part D claims for 27 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Michael Falcone30
  2. Specialty average727

Most prescribed

  1. Methylprednisolone16 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 88.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score70.6
  2. Costout of 100 · 30%91.0
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $34.44

1 payment: food and beverage; the largest payer was Bioventus LLC. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Falcone$34.44
  2. Specialty average$1,237.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Rothman Orthopaedics OF New Jersey, LLCEgg Harbor Township, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael Falcone among 621 physical medicine & rehabilitation physician records in New Jersey

Michael Falcone, M.D. is one of 621 physical medicine & rehabilitation physician records with a practice address in New Jersey. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 60% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 57% of these records are
  • Graduated1997 · median 2004 among the 357 with a school on file
  • Record last updated2012 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Medicine & Rehabilitation Physician providers in New Jersey

There are 621 physical medicine & rehabilitation physician records in New Jersey.

The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes

  1. Erich Gottwald, DOVoorhees, NJ 080431811155047
  2. Samantha Kanarek, D.O.Voorhees, NJ 080431912174012
  3. Hemangini Mehta, M.D.Voorhees, NJ 080431588853626
  4. Alexa Soltesz, DPTVoorhees, NJ 080431821712233
  5. Ruth Lyons-Marcus, PTColumbus, NJ 080221013138213
  6. Brett Michener, MPT,CSCSColumbus, NJ 080221457572661
  7. Brant Navoa, PTColumbus, NJ 080221114125481
  8. Steven Platt, MPT,ATCColumbus, NJ 080221558582775

Common questions

What is Michael Falcone, M.D.'s NPI number?

Michael Falcone, M.D.'s National Provider Identifier (NPI) is 1689787129, issued on Aug 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Michael Falcone, M.D. located?

The NPPES record lists a practice address at 373 S White Horse Pike, Hammonton, NJ, 08037. Phone: (609) 567-9233. Providers update this record themselves, so call before visiting.

How can I verify Michael Falcone, M.D.'s license?

NPPES lists New Jersey license number 25MA07198100, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Falcone, M.D. prescribe under Medicare Part D?

In 2024, Michael Falcone, M.D. had 30 Medicare Part D claims for 27 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.

What is Michael Falcone, M.D.'s MIPS final score?

The 2023 MIPS final score is 88.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.