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 · 2024

Total received

$159

Payment records

By payment type

Food and Beverage$159

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