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DR. VINCENT FALANGA M.D.
NPI 1376501825
Dermatology in Melrose, MA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
1 CITY HALL PLZ, MELROSE, MA 02176(781) 662-8881(781) 662-8886 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 20, 2024, Jul 8, 2024, Mar 6, 2024 and 4 more (7 updates tracked since 2018).

About Dr. Vincent Falanga M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VINCENT FALANGA M.D. (NPI 1376501825) is an individual dermatology provider in Melrose, Massachusetts, licensed in Massachusetts (204639) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Harvard Medical School (1977).

NPPES Registry Identity

NPI1376501825
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. VINCENT FALANGACredential: M.D.
Location Address1 CITY HALL PLZMelrose, MA 02176-3149
Mailing Address526 Main St Ste 302Acton, MA 01720-3301 · (978) 371-7010 · Fax (978) 371-0522
Phone(781) 662-8881
Fax(781) 662-8886
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1977
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 20, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1376501825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in MA · 204639✔ Licensed in NH · 24501✔ Licensed in FL · ME32699✔ Licensed in RI · 09698
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1 CITY HALL PLZ, Melrose, MA 02176
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Other Identifiers 1

Medicaid9025375RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vincent Falanga M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426096967
PECOS Enrollment IDI20130715000132
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Vincent Falanga reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Dermatology And Aesthetic Center LLC
12 mi
Dermatology
1 CITY HALL PLZ
Melrose, MA 02176
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1568907533 (781) 662-8881
Mary Hitchcock Memorial Hospital
29 mi
Psychiatric Hospital
218 EAST RD
Hampstead, NH 03841
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1699584219 (603) 650-5000
Dartmouth-Hitchcock Clinic
70 mi
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1174176861 (603) 354-5400
Mcr Health, Inc.
1,209 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Skin Cancer Treatment Center
1,249 mi
Specialist
10001 PINES BLVD
Pembroke Pines, FL 33024
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1861509234 (954) 436-5625

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
278 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
159 services131 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
109 services99 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
107 services100 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
79 services79 patients
Punch biopsy, first skin growth 11104
A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
48 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.01
Promoting Interoperability100
Improvement Activities40
Cost66.14

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
26%23 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
66%330 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%141 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%1,532 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%796 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 793 patients
Patients screened: 99% · 793 patients
91%148 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD MONTEIRO M.D.
Obstetrics & Gynecology
1 CITY HALL PLZ
MELROSE, MA 02176
Middlesex County (781) 662-4390
DR. STEVEN IRA KORNBLEUTH MD
Dermatology
1 CITY HALL PLZ
MELROSE, MA 02176
Middlesex County (781) 662-8881
ADVANCED DERMATOLOGY AND AESTHETIC CENTER LLC
Dermatology
1 CITY HALL PLZ
MELROSE, MA 02176
Middlesex County (781) 662-8881
KATHERINE SARAH SARAGOSA PA-C
Physician Assistant
1 CITY HALL PLZ
MELROSE, MA 02176
Middlesex County (781) 662-8881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Falanga's NPI number?

The NPI number for Vincent Falanga is 1376501825. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Vincent Falanga located?

Vincent Falanga practices at 1 City Hall Plz, Melrose, MA 02176. The listed phone number is (781) 662-8881.

What is Vincent Falanga's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Vincent Falanga enrolled in Medicare?

Yes. Vincent Falanga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vincent Falanga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Falanga reassigns Medicare benefits to 5 organizations: Advanced Dermatology And Aesthetic Center LLC (Melrose, MA), Mary Hitchcock Memorial Hospital (Hampstead, NH), Dartmouth-Hitchcock Clinic (Keene, NH), Mcr Health, Inc. (Parrish, FL) and Skin Cancer Treatment Center (Pembroke Pines, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vincent Falanga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Falanga accept?

Health plans from Anthem Blue Cross and Blue Shield list Vincent Falanga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vincent Falanga affiliated with any hospitals?

According to CMS data, Vincent Falanga is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Vincent Falanga was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.