Amy Falcone-Wharton, MD
NPI 1255695581 · Obstetrics & Gynecology Physician · Henderson, NV
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amy Falcone-Wharton, MD is a Obstetrics & Gynecology Physician provider in Henderson, NV (NPI 1255695581).
Provider details
- NPI number
- 1255695581
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 17560 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
460 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 89 | $88 |
| Non-Needle Measurement and Recording of Electrical Activity of Muscles at Bladder and Bowel Openings51784 | 83 | $63 |
| Study of Rectum Sensitivity and Function91122 | 83 | $270 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 60 | $125 |
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 41 | $38 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 64 | 38 |
| Progesterone, Micronizedbrand: Progesterone | 23 | 14 |
| Fluconazole | 21 | 14 |
| Levothyroxine Sodium | 20 | — |
| Clobetasol Propionate | 16 | 14 |
| Medroxyprogesterone Acetate | 15 | — |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 15 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$397 across 20 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2021-11-19
- Certified
- 2021-11-19
Frequently asked questions
- What is Amy Falcone-Wharton's NPI number?
- Amy Falcone-Wharton's National Provider Identifier (NPI) is 1255695581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amy Falcone-Wharton's specialty?
- Amy Falcone-Wharton is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Amy Falcone-Wharton located?
- Amy Falcone-Wharton's practice location on file with NPPES is 3039 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-4193.
- What is Amy Falcone-Wharton's phone number?
- The practice phone number listed in the NPPES registry for Amy Falcone-Wharton is (702) 478-5111.
- Does Amy Falcone-Wharton accept Medicare?
- Amy Falcone-Wharton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amy Falcone-Wharton's NPI active?
- Yes — Amy Falcone-Wharton's NPI (1255695581) is active in the NPPES registry as of the last update on 2021-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.