Michael Falahat, MD
NPI 1528684297 · Emergency Medicine Physician · Ripon, WI
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Falahat, MD is a Emergency Medicine Physician provider in Ripon, WI (NPI 1528684297).
Provider details
- NPI number
- 1528684297
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 94-10395 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
223 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 108 | $110 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 46 | $159 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 43 | $65 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 14 | $90 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 12 | $61 |
Typical Medicare-allowed amounts for these services range $61–$159 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 18 | 18 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 15 | 15 |
| Doxycycline Monohydrate | 13 | 13 |
| Cephalexin | 13 | 13 |
| Cefprozil | 12 | 11 |
| Azithromycin | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-18
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Frequently asked questions
- What is Michael Falahat's NPI number?
- Michael Falahat's National Provider Identifier (NPI) is 1528684297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Falahat's specialty?
- Michael Falahat is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Falahat located?
- Michael Falahat's practice location on file with NPPES is 845 Parkside St, Ripon, WI 54971-8505.
- What is Michael Falahat's phone number?
- The practice phone number listed in the NPPES registry for Michael Falahat is (920) 745-3455.
- Does Michael Falahat accept Medicare?
- Michael Falahat is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Falahat's NPI active?
- Yes — Michael Falahat's NPI (1528684297) is active in the NPPES registry as of the last update on 2026-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.