Dr. William D. Falco, MD

  • Pleasant Prairie, WI
  • Emergency medicine physician
NPI1588616981PAC ID7416049366
Medicare services, 2024
483
Medicare patients, 2024
404
Part D claims, 2024
364
MIPS score, 2024
85
Hospital affiliations
1
Practice address
9555 76th St, Pleasant Prairie, WI 53158
Practice phone
Call (262) 577-8000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Froedtert Pleasant Prairie Hospital

Pleasant Prairie, Wisconsin

See all 5 affiliations

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Dr. William D. Falco is an emergency medicine physician in Pleasant Prairie, Wisconsin

Dr. Falco practices at Froedtert Pleasant Prairie Hospital in Pleasant Prairie, Wisconsin.

Dr. Falco's NPI, 1588616981, was assigned on May 16, 2006. Dr. Falco graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) in 1997. Dr. Falco holds Wisconsin license 38905-020.

NPI and contact details
Medicare PAC ID
7416049366
NPI enumeration date
May 16, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(262) 577-8000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
55
Medical school graduation
1997

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. William D. Falco practices at Froedtert Pleasant Prairie Hospital in Pleasant Prairie, Wisconsin

Dr. Falco's primary practice is Froedtert Pleasant Prairie Hospital, at 9555 76th St, Pleasant Prairie, WI 53158 in Kenosha County. The practice phone is (262) 577-8000.

  • Froedtert Pleasant Prairie Hospital
    9555 76th St, Pleasant Prairie, WI 53158 · Kenosha CountyPhone(262) 577-8000

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. William D. Falco is affiliated with 3 sites of care and 2 medical groups

Dr. Falco's primary practice is Froedtert Pleasant Prairie Hospital in Pleasant Prairie, Wisconsin. Dr. Falco is also affiliated with Froedtert Pleasant Prairie Hospital. The medical group on file is Froedtert South Medical Group. Dmand AI also links Dr. Falco to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 5 affiliations for Dr. Falco

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. William D. Falco's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Falco practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Froedtert Pleasant Prairie HospitalAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. William D. Falco is one of 1,211 emergency medicine physicians in Wisconsin

Emergency medicine is Dr. Falco's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dmand AI has Dr. Falco's licenses on file in 2 states: Wisconsin and Illinois.

Specialties and state licenses

  • Emergency medicine, WisconsinPrimaryLicense 38905-020 · taxonomy 207P00000X
  • Illinois licenseLicense 036093773

Emergency medicine physicians near Dr. Falco

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. William D. Falco billed Medicare for 483 services in 2024

CMS data shows 483 Medicare services from Dr. Falco across 4 procedure codes in 2024, for 404 Medicare patients. Medicare paid $54,781 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024483
Medicare patients404
Paid by Medicare$54,781
Procedure codes4

Dr. Falco's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4122024: 4427%
Tests and treatments
2023: 112024: 41273%

Dr. Falco compared with the Wisconsin median for emergency medicine physicians, 2024

  • Dr. Falco
  • Wisconsin median
Medicare services
483vs 24696% above
Medicare patients
404vs 22183% above
Part D claims
215vs 573.8 times

Medians across 1,249 emergency medicine physicians in Wisconsin with Dmand AI profiles that report each measure.

Dr. Falco's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Falco

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Falco and other emergency medicine physicians in Wisconsin.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. William D. Falco treated 404 Medicare patients in 2024, average age 73

CMS counts 404 Medicare patients who saw Dr. Falco in 2024. The largest group is 75 to 84, with 133 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 27% are also on Medicaid. Their average risk score is 1.93, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Falco's median patient age at 43, with 59% women.

Medicare patients, 2024404
Average age73
Average risk score1.93
Also on Medicaid27%

Dr. Falco's Medicare patients by age, 2024

Dr. Falco's Medicare patients by sex, 2024

  • Women23759%
  • Men16741%

Chronic conditions among Dr. Falco's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis49%
  4. Anxiety42%
  5. Diabetes40%
  6. Chronic kidney disease39%
  7. Ischemic heart disease36%
  8. Mood disorders36%

Share of Medicare patients with each condition. A patient can have several.

Dr. Falco's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 43

Patient panel by sex, all payers

  • Women59%
  • Men41%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. William D. Falco wrote 364 Medicare Part D claims in 2024

In 2024, Dr. Falco wrote 364 Medicare Part D claims for 234 patients. 97% of them were for generic drugs. CMS names the drug for 215 of them, across 9 drugs with 11 or more claims each, at $1,382 in total drug cost. In 2023, CMS named 119 claims across 6 drugs.

Part D claims, 2024364
Drugs named by CMS9
Total drug cost$1,382
Part D patients234

Dr. Falco's Part D claims by kind of drug, 2024

  • Generic353 claims97%
  • Brand-name and other11 claims3%

Dr. Falco's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Falco's Part D claims, 2024

  • Opioids16%58 of 364 claims
  • Antibiotics33%120 of 364 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1192024: 21581%

Drugs named by CMS: 9 in 2024, 6 in 2023.

See all prescribing by Dr. Falco

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. William D. Falco scored 85 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Dr. Falco for performance year 2024, reported as part of a group. Dr. Falco accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Falco's MIPS scores, performance year 2024

  • 85of 100Final score
  • 73.2of 100Quality
  • 40of 100Improvement Activities
  • 82of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. William D. Falco received $3,416 in industry payments from 2016 to 2024

CMS Open Payments shows 13 general payments to Dr. Falco from 5 drug and device companies from 2016 to 2024. Speaker and faculty fees make up the largest share, 67% of the total. Beckman Coulter, Inc. paid the most, $3,127.

General payments to Dr. Falco by program year, 2016 to 2024

General payments to Dr. Falco by kind, 2016 to 2024

$3.4Kin total
  • Speaker and faculty fees$2,27567%
  • Consulting fees$70020%
  • Food and beverage$44113%

Companies that paid Dr. Falco the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Falco

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. William D. Falco graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb)

Dr. Falco graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) in 1997.

  1. Medical schoolUniversity of Illinois College of Med (Chi/Peor/Rock/Chm-Urb)

Source: Dmand AI Professional Profile Data

Sources for Dr. William D. Falco's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. William D. Falco

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. William D. Falco's NPI number?

Dr. William D. Falco's NPI number is 1588616981. It was assigned on May 16, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. William D. Falco?

Dr. William D. Falco is an emergency medicine physician in Pleasant Prairie, Wisconsin. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. William D. Falco practice?

Dr. Falco practices at 9555 76th St, Pleasant Prairie, WI 53158. Dr. Falco's primary practice is Froedtert Pleasant Prairie Hospital in Pleasant Prairie, Wisconsin. Dmand AI also links Dr. Falco to 1 group practice or clinic and 1 medical group.

What is Dr. William D. Falco's office phone number?

The practice phone on file for Dr. Falco is (262) 577-8000.

What is Dr. William D. Falco's medical license number?

Dr. Falco holds Wisconsin license 38905-020, one of the licenses on file in 2 states.

Which states has Dr. William D. Falco been licensed in?

Dmand AI has state licenses on file for Dr. Falco in Wisconsin and Illinois.

Which hospitals is Dr. William D. Falco affiliated with?

Dr. Falco is affiliated with Froedtert Pleasant Prairie Hospital.

What medical group is Dr. William D. Falco part of?

Dr. Falco is linked to Froedtert South Medical Group. Dmand AI links Dr. Falco to 1 more medical group.

Does Dr. William D. Falco accept Medicare?

Yes. CMS data shows Dr. Falco billed Medicare for 483 services in 2024, and Dr. Falco accepts Medicare assignment.

What is Dr. William D. Falco's MIPS score?

Dr. Falco's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.

Show 6 more questionsShow fewer questions

How many Medicare patients does Dr. William D. Falco see?

CMS counts 404 Medicare patients who saw Dr. Falco in 2024, with an average age of 73.

What services does Dr. William D. Falco bill to Medicare?

In 2024, Dr. Falco's most billed Medicare services were emergency department visit (99285), emergency department visit (99284) and critical care (99291).

Where did Dr. William D. Falco go to medical school?

Dr. Falco graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) in 1997.

What drugs does Dr. William D. Falco prescribe most?

In 2024 Medicare Part D data, Dr. Falco's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Prednisone and Ondansetron ODT.

Has Dr. William D. Falco received payments from drug or device companies?

CMS Open Payments shows $3,416 in general payments to Dr. Falco from 5 companies from 2016 to 2024. The largest total came from Beckman Coulter, Inc.

How long has Dr. William D. Falco been practicing?

Dr. Falco graduated from medical school in 1997, 29 years ago.

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