NPPES file of Aug 9, 2026

Rita A. Falcone, M.D.

Cardiovascular Disease Physician · West Chester, PA

Rita A. Falcone, M.D. is a cardiovascular disease physician with a practice address in West Chester, Pennsylvania, and NPI 1902966880, issued on Dec 11, 2006. Check the license (Pennsylvania MD420884, as entered in NPPES) on the Pennsylvania Department of State (PALS); 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
1902966880
Name
Rita A. Falcone
Credential
M.D.
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
MD420884 PA
Self-reported in NPPES; status is on the state search
Practice location
915 Old Fern Hill RD, West Chester, PA 19380
Phone
(610) 696-2850
Enumerated
Dec 11, 2006
Record last updated
Jul 10, 2023
Fax
(610) 696-7159
Medicaid ID
101438670 PA
Medicare enrollment
Enrolled (PECOS I20091208000597); accepts Medicare assignment
Medical or professional school
Medical College Of Pennsylvania, 1989
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 915 Old Fern Hill RD

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

  1. Jeanette Agrian, PTA, CMTPhysical Therapy Assistant1801917695
  2. Jennifer Akins, MDObstetrics & Gynecology Physician1295716611
  3. Roger Alburn, ODOptometrist1285634626
  4. Donald Andersen, M.D.Urology Physician1003846817
  5. William Atkins, MDObstetrics & Gynecology Physician1255312757
  6. Monica Austin, PHPhysician Assistant1205875705

Verify Rita A. Falcone in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD420884
    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 Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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43% more Medicare Part D claims than the average cardiovascular disease physician in 2024

4,392 Medicare Part D claims for 537 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims.

  1. Rita Falcone4,392
  2. Specialty average3,078

Most prescribed

  1. Metoprolol Succinate894 claims
  2. Rosuvastatin Calcium387 claims
  3. Atorvastatin Calcium352 claims
  4. Amlodipine Besylate348 claims
  5. Eliquis263 claims
  6. Lisinopril263 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): 98.3 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. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%98.0
  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: $390.33

19 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Rita Falcone$390.33
  2. Specialty average$3,819.56

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. Cardiology Consultants OF Philadelphia PCWest Chester, PA

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

Rita A. Falcone among 1,476 cardiovascular disease physician records in Pennsylvania

Rita A. Falcone, M.D. is one of 1,476 cardiovascular disease physician records with a practice address in Pennsylvania. 85% 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 20% of them.

  • NPI issued2006 · 20% of these records are older, 45% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated1989 · median 2000 among the 1,003 with a school on file
  • Record last updated2023 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Pennsylvania

There are 1,476 cardiovascular disease physician records in Pennsylvania.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Christopher Baldi, DOWest Chester, PA 193801053314773
  2. Riya Chacko, MDWest Chester, PA 193801265622369
  3. Ramprasad Gadi, MDWest Chester, PA 193801174550461
  4. Hope Helfeld, D.O.West Chester, PA 193801912996547
  5. Mian Jan, M.D.West Chester, PA 193801487693537
  6. Raghuram Mallya, MDWest Chester, PA 193801912115833
  7. Sharayne Mark Coffin, M.D.West Chester, PA 193801194042127
  8. Andrew Mehalick, D.O.West Chester, PA 193801821424102

Common questions

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

Rita A. Falcone, M.D.'s National Provider Identifier (NPI) is 1902966880, issued on Dec 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Rita A. Falcone, M.D. located?

The NPPES record lists a practice address at 915 Old Fern Hill RD, West Chester, PA, 19380. Phone: (610) 696-2850. Providers update this record themselves, so call before visiting.

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

NPPES lists Pennsylvania license number MD420884, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

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

In 2024, Rita A. Falcone, M.D. had 4,392 Medicare Part D claims for 537 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

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

The 2023 MIPS final score is 98.3 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.