Todd Falcone, M.D.
NPI 1952538456 · Otolaryngology Physician · Farmington, CT
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Falcone, M.D. is a Otolaryngology Physician provider in Farmington, CT (NPI 1952538456).
Provider details
- NPI number
- 1952538456
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 52871 (CT)
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
17 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
321 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 | 120 | $94 |
| Removal of Impacted Ear Wax69210 | 43 | $49 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 37 | $199 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 37 | $114 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $174 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 142 | 71 |
| Ipratropium Bromide | 90 | 40 |
| Azelastine Hcl | 34 | 13 |
| Fluocinolone Acetonide Oil | 28 | 20 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 24 | 19 |
| Dupilumabbrand: Dupixent Pen | 24 | — |
| Famotidine | 24 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$60 across 2 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
- 2009-06-11
- Last updated
- 2022-07-08
- Certified
- 2021-12-15
Frequently asked questions
- What is Todd Falcone's NPI number?
- Todd Falcone's National Provider Identifier (NPI) is 1952538456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Falcone's specialty?
- Todd Falcone is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Todd Falcone located?
- Todd Falcone's practice location on file with NPPES is 263 Farmington Ave, Farmington, CT 06030-2212.
- What is Todd Falcone's phone number?
- The practice phone number listed in the NPPES registry for Todd Falcone is (860) 679-2804.
- Does Todd Falcone accept Medicare?
- Todd Falcone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Falcone's NPI active?
- Yes — Todd Falcone's NPI (1952538456) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.