What is Clayton Falknor's specialty?

Clayton Falknor (NPI 1164625018) is a Medicare-billing provider whose primary specialty is Ophthalmology in Colorado Springs, CO.

Where does Clayton Falknor practice?

Clayton Falknor practices in Colorado Springs, CO, based on the location reported in the CMS Medicare provider datasets for NPI 1164625018.

How much does Medicare pay Clayton Falknor?

Clayton Falknor (NPI 1164625018) received approximately $211K in total Medicare Part B payments, serving 852 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1164625018

Clayton FalknorMD

OphthalmologyColorado Springs, COI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,787

Unique beneficiaries

—

Total services

2,083

Distinct HCPCS

Medicare payment

$198K

Peer benchmark

Total Medicare services vs. 288 Ophthalmology providers in CO — above median (cohort median 1,772).

PRESCRIBING · PART D · 2024

Total Rx claims

1,245

Beneficiaries

—

Total drug cost

$49K

Distinct drugs

Brand share

19.7%

Top prescribed drugs

Prednisolone Acetate292 claims

Latanoprost283 claims

Fluorometholone138 claims

Dorzolamide Hcl/Timolol Maleat108 claims

Timolol Maleate103 claims

QUALITY · MIPS · 2024

Final MIPS score

92.9

Quality

99.1

Cost

77.5

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.75%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$41

Payment records

By payment type

Food and Beverage$41

Top paying entities

Food and Beverage$41

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 060022

Hospital

REFERRAL NETWORK

Where Clayton Falknor's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 3 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UCH-MHS	58	105
NPI 1396781134	19	35
Dean Carlson Ophthalmology · Colorado Springs, CO	14	25

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
CATHOLIC HEALTH INITIATIVES COLORADO	65	155
Surgery Affiliates, Llc Ambulatory Surgical Center · Colorado Springs, CO	62	262
UCH-MHS	58	118
Laboratory Corporation Of America Clinical Laboratory · Englewood, CO	28	55
Optumcare Colorado Medical Group, Llc Clinical Laboratory · Colorado Springs, CO	19	50
HALL, JAMES	17	52
NPI 1396781134	13	36
Douglas Chapman Anesthesiology · Colorado Springs, CO	12	33

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events