2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1689787129 M.D.
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MICHAEL FALCONE, M.D.

Physical Medicine & Rehabilitation Physician in HAMMONTON, 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
20
Medicare Part D claims · 16 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
88.2373/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$34.44
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHAEL FALCONE, M.D. reported a CMS MIPS final score of 88.2373/100 — above the 83.1 national average — and filed 20 Medicare Part D claims in 2023.

88.2373/100
MIPS score · +5 vs avg
20
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.

MICHAEL FALCONE, M.D.'s MIPS score vs every scored U.S. clinician

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

88 Top 44% higher than 56% 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%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

MICHAEL FALCONE, 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).

What does the federal data show about MICHAEL FALCONE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/17/2006

NPI 1689787129

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

20 97% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

88.2373/100 5.13730000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Physical Medicine & Rehabilitation Physician compares to other specialties among New Jersey providers

New Jersey providers

Physical Medicine & Rehabilitation Physician share within New Jersey

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

Medicare quality performance — MIPS

MICHAEL FALCONE, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

High performer (top quartile)
MIPS Final Score
88.2373/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 88.2373/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 88.2373/100 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).

MICHAEL FALCONE, M.D. is a Physical Medicine & Rehabilitation Physician provider practicing in HAMMONTON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1689787129. 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.

MICHAEL FALCONE, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 373 S WHITE HORSE PIKE, HAMMONTON, NJ, 08037, with a listed phone of (609) 567-9233. NPI 1689787129 was issued on 08/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FALCONE 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 20 prescription claims written by this provider, covering 16 Medicare beneficiaries and totaling roughly $638 in drug spend. 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 88.2373/100 for the 2023 performance year (Quality 70.5742, Cost 91.05), compared with the national average of 83.1.

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

373 S WHITE HORSE PIKE
HAMMONTON, NJ 08037

Provider Details

NPI 1689787129
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 08/17/2006

CMS Quality Score (MIPS)

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

88.2373
Final Score
Avg: 83.1
70.5742
Quality
91.05
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL FALCONE, 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.

ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC
EGG HARBOR TOWNSHIP, 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 MICHAEL FALCONE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

Bioventus LLC

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.

Medicare Part D Prescribing Data

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

20
Total Claims
$638
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24
Total Day Supply
404
Brand Drug Cost
$0
Generic Drug Cost
$638

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
0.77
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Physical Medicine & Rehabilitation Physician Overview

How MICHAEL FALCONE, 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

MICHAEL FALCONE, M.D.'s 20 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is MICHAEL FALCONE, M.D.'s specialty?
MICHAEL FALCONE, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in HAMMONTON, New Jersey. Credentials: M.D..
How much does MICHAEL FALCONE, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL FALCONE, M.D. wrote 20 Medicare Part D claims totaling $638 in drug costs for 16 beneficiaries.
What is MICHAEL FALCONE, M.D.'s Medicare quality score?
MICHAEL FALCONE, M.D. has a CMS MIPS Final Score of 88.2373/100 (Quality: 70.5742, Cost: 91.05). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL FALCONE, M.D. located?
MICHAEL FALCONE, M.D. is located at 373 S WHITE HORSE PIKE, HAMMONTON, NJ, 08037. Phone: (609) 567-9233.
What is MICHAEL FALCONE, M.D.'s NPI number?
MICHAEL FALCONE, M.D.'s National Provider Identifier (NPI) is 1689787129, issued on 08/17/2006.
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.
Does MICHAEL FALCONE, M.D. accept Medicare?
MICHAEL FALCONE, M.D. appears in CMS Medicare data with 20 Part D claims and 16 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL FALCONE, M.D.'s credentials?
MICHAEL FALCONE, M.D.'s NPI is 1689787129 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