NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1336322874 PAC
Verify on CMS → Teri Falconer, PAC
Physician Assistant in Manahawkin, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 156,084 in Physician Assistant, 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
1K
Medicare Part D claims · 531 beneficiaries · Physician Assistant avg: 832
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.3/100
▲ 4 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Teri Falconer, PAC reported a CMS MIPS final score of 87.3/100 - above the 83.5 national average - and filed 1,494 Medicare Part D claims in 2024.
- 87.3/100
- MIPS score · +4 vs avg
- 1K
- Part D claims, 2024
- 98%
- generic prescribing
- ≥52nd
- 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.
Federal trust snapshot
What official records show about Teri Falconer, PAC
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1336322874), first enumerated 12/06/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,494 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 87.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1336322874 · Physician Assistant
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ABOVE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1336322874
- ENUM-MID 2007
- TAX-MEGA 156K Physician Assistant
- MIPS-ABOVE 87.3/100
- RX-MID 1,494
- BOOK-LIGHT 3,319 in New Jersey
- PHOTO-FINISH Jacquelyn O'Donnell,… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Falconer · this …
Falconer · this provider
87.3 MIPS pts
- Sonia Cipriani, …
Sonia Cipriani, PA
87.3 MIPS pts
- Jacquelyn O'Donn…
Jacquelyn O'Donnell, PA-C
87.3 MIPS pts
- Charles Wadswort…
Charles Wadsworth, P.A.
87.3 MIPS pts
- Miranda Batorski…
Miranda Batorski, PA
87.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Teri Falconer, PAC'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.
87 ≥ 52nd percentile 52% 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 Teri Falconer, PAC sits
This provider among physician assistant peers
Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Teri Falconer, PAC writes more Part D claims than 88% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Teri Falconer, PAC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Teri Falconer, PAC?
High performer (top quartile)Primary specialty
Physician Assistant
Medicare Part D claims
1,494 80% vs specialty avg
MIPS final score
87.3/100 3.8 pts vs avg
Specialty distribution in New Jersey
How Physician Assistant compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Teri Falconer, PAC's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 87.3/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1336322874 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PAC |
| Gender | Female |
| NPI Issued | 12/06/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.311
Final Score
Measured-score avg: 83.5
95
Quality
64.37
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Teri Falconer, PAC 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.
NJ Regional Ear Nose And Throat Center LLC
Manahawkin, 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).
Brand vs generic prescribing mix · Generic-heavy
Teri Falconer, PAC - brand share 2.0%
Physician Assistant average
2% brand-name claims vs 98% generic, on 1,494 2024 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 2024.
1,494
Total Claims
$42K
Total Drug Cost
531
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,832.633
- Total Day Supply
- 76,511
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $38K
- Antibiotic Claims
- 87
Patient Demographics
- Average Patient Age
- 76.4 years
- Avg HCC Risk Score
- 1.25
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 14, 65-74: 193, 75-84: 251, 85+: 73
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Teri Falconer, PAC prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluticasone Propio…
Fluticasone Propionate
225 claims
- Azelastine Hcl
Azelastine Hcl
178 claims
- Montelukast Sodium
Montelukast Sodium
155 claims
- Levocetirizine Dih…
Levocetirizine Dihydrochloride
117 claims
- Methylprednisolone
Methylprednisolone
93 claims
- Ipratropium Bromide
Ipratropium Bromide
90 claims
- Fluocinolone Aceto… 69
Fluocinolone Acetonide Oil
69 claims
- Omeprazole 64
Omeprazole
64 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 225 |
| Azelastine Hcl | 178 |
| Montelukast Sodium | 155 |
| Levocetirizine Dihydrochloride | 117 |
| Methylprednisolone | 93 |
| Ipratropium Bromide | 90 |
| Fluocinolone Acetonide Oil | 69 |
| Omeprazole | 64 |
| Desloratadine | 61 |
| Famotidine | 50 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Teri Falconer, PAC fits within the Physician Assistant landscape nationally.
156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider
Teri Falconer, PAC's 1,494 claims are above the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Falconer, both outside New Jersey so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (87.3 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Falconer.
One of 3,319 Physician Assistant providers enrolled in New Jersey, 5 are shown here.
Ann Marie Abadeer
PA-C, MHS
Ramsey, NJ
Sydney Abajian
Wayne, NJ
Bianca Nicole Abantao
PA-C
Bergenfield, NJ
Ann Abbate
PA-C
Freehold, NJ
Diana Abbate
Marlboro, NJ
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Teri Falconer, PAC's specialty? ▼
Teri Falconer, PAC specializes in Physician Assistant and practices in Manahawkin, New Jersey. Credentials: PAC.
How much does Teri Falconer, PAC prescribe under Medicare Part D? ▼
In 2024, Teri Falconer, PAC wrote 1,494 Medicare Part D claims totaling $42K in drug costs for 531 beneficiaries.
What is Teri Falconer, PAC's Medicare quality score? ▼
Teri Falconer, PAC has a CMS MIPS Final Score of 87.3/100 (Quality: 95, Cost: 64.4). 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 Teri Falconer, PAC located? ▼
Teri Falconer, PAC is located at 1145 BEACON AVE, Manahawkin, NJ, 08050. Phone: (609) 597-7110.
What is Teri Falconer, PAC's NPI number? ▼
Teri Falconer, PAC's National Provider Identifier (NPI) is 1336322874, issued on 12/06/2007.
Does Teri Falconer, PAC prescribe more brand-name or generic drugs? ▼
Teri Falconer, PAC's prescribing is 2% brand-name and 98% generic drugs by claim count, with $4K in brand drug costs.
How many Physician Assistant providers are there in the US? ▼
There are 156,084 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 832 Medicare Part D claims per year.
What drugs does Teri Falconer, PAC prescribe most often? ▼
Based on 2024 Medicare Part D data, Teri Falconer, PAC's most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Teri Falconer, PAC accept Medicare? ▼
Teri Falconer, PAC appears in CMS Medicare data with 1,494 Part D claims and 531 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Teri Falconer, PAC's credentials? ▼
Teri Falconer, PAC's NPI is 1336322874 with credentials PAC. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.