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SAMUEL FALZONE M.D.
NPI 1376542167
Obstetrics & Gynecology in Wellington, FL

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
1447 MEDICAL PARK BLVD, STE 300, WELLINGTON, FL 33414(561) 790-5990(561) 790-5952 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Falzone M.d. NPPES

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

SAMUEL FALZONE M.D. (NPI 1376542167) is an individual obstetrics & gynecology provider in Wellington, Florida, licensed in Florida (ME72672) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Wellington Regional Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1993).

NPPES Registry Identity

NPI1376542167
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSAMUEL FALZONECredential: M.D.
Location Address1447 MEDICAL PARK BLVD, STE 300Wellington, FL 33414-3164
Mailing Address770 Northpoint Parkway, Suite 102West Palm Beach, FL 33407 · (561) 275-7604 · Fax (561) 802-5385
Phone(561) 790-5990
Fax(561) 790-5952
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1993
Enumeration DateJuly 14, 2005
Last NPPES UpdateSeptember 25, 2017
✔ NPI 1376542167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME72672
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1447 MEDICAL PARK BLVD, Wellington, FL 33414
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Other Identifiers 3

Medicaid252357400FL
Medicare PIN41314ZFL
Medicare UPING53536FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Falzone 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 ID2860556438
PECOS Enrollment IDI20120619000524
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services15 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
12 services11 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
11 services11 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33414 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
83%279 patients4/55-star benchmark: 93%
Cervical Cancer Screening
90%1,079 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
48%496 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
48%40 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
79%33 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%2,083 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%1,148 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%1,783 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 42% · 1,291 patients
Patients screened: 44% · 1,291 patients
11%27 patients1/55-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 20

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

JULIE PASS MD
Obstetrics & Gynecology
1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414
Palm Beach County (561) 790-5990
MELISSA E CARLSON MD
Obstetrics & Gynecology
1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414
Palm Beach County (561) 790-5990
CHILDRENS ENDOCRINE & DIABETES CARE INC
Pediatrics (Pediatric Endocrinology)
1447 MEDICAL PARK BLVD, STE 104
WELLINGTON, FL 33414
Palm Beach County (561) 792-1525
DEBRA B BALLIRAM MANOHALAL D.O.
Obstetrics & Gynecology
1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414
Palm Beach County (561) 790-5990
DR. EMILIO BUENAVENTURA TORRES MD
Obstetrics & Gynecology
1447 MEDICAL PARK BLVD, SUITE 202
WELLINGTON, FL 33414
Palm Beach County (561) 204-1449
OBGYN SPECIALISTS OF THE PALM BEACHES PA
Obstetrics & Gynecology
1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414
Palm Beach County (561) 790-5990
FLORIDA INTERVENTIONAL PAIN MANAGEMENT LLC
Pain Medicine (Interventional Pain Medicine)
1447 MEDICAL PARK BLVD, 209
WELLINGTON, FL 33414
Palm Beach County (561) 537-4817
MEDICAL PARK SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1447 MEDICAL PARK BLVD, SUITE 300
WELLINGTON, FL 33414
Palm Beach County (561) 790-5990

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 Samuel Falzone's NPI number?

The NPI number for Samuel Falzone is 1376542167. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Samuel Falzone located?

Samuel Falzone practices at 1447 Medical Park Blvd Ste 300, Wellington, FL 33414. The listed phone number is (561) 790-5990.

What is Samuel Falzone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samuel Falzone enrolled in Medicare?

Yes. Samuel Falzone 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.

What insurance does Samuel Falzone accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Samuel Falzone 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 Samuel Falzone affiliated with any hospitals?

According to CMS data, Samuel Falzone is affiliated with Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Falzone was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.