Medicare Enrolled

Dr. Mark Falvo, M.D.

Surgery · Williamsville, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1150 YOUNGS RD, Williamsville, NY 14221
7166369004
In practice since 2007 (18 years)
NPI: 1699966242 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Falvo from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Falvo? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Falvo

Dr. Mark Falvo is a surgery specialist in Williamsville, NY, with 18 years of NPI registration. Based on federal Medicare data, Dr. Falvo performed 158 Medicare services across 153 unique beneficiaries.

Between the years covered by Open Payments, Dr. Falvo received a total of $5,618 from 28 pharmaceutical and/or device companies across 69 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Falvo is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice ▲ 158 Medicare services $5,618 industry payments

Medicare Practice Summary

Medicare Utilization ↗
158
Medicare services
Bottom 40% in NY for surgery
153
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~9 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Moderate sedation during GI endoscopy
Sedation services provided by the physician performing a gastrointestinal endoscopic procedure. This requires an independent trained observer to assist in monitoring the patient.
32 $4 $10
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
31 $74 $153
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
26 $138 $850
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
25 $61 $105
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
20 $195 $900
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
13 $175 $450
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
11 $168 $750
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,618
Total received (2018-2024)
Avg $803/year across 7 years
Top 27% in NY for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
69
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,618 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,042
2023
$1,429
2022
$1,082
2021
$512
2020
$405
2019
$725
2018
$424

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
FUJIFILM Healthcare Americas Corporation
$237
Medtronic, Inc.
$184
Integra LifeSciences Corporation
$150
Ethicon US, LLC
$111
Sanara MedTech Inc.
$105
Exact Sciences Corporation
$97
COLOPLAST CORP
$83
Axonics, Inc.
$51
PENTAX of America, Inc.
$24
Top 3 companies account for 54.8% of 2024 payments
All-time payments by company (2018-2024) ›
Intuitive Surgical, Inc.
$853
Medtronic, Inc.
$756
Integra LifeSciences Corporation
$474
Ethicon US, LLC
$466
FUJIFILM Healthcare Americas Corporation
$371
Covidien LP
$274
THD America, Inc.
$243
Activ Surgical, Inc.
$197
PENTAX of America, Inc.
$189
Exact Sciences Corporation
$188
Axonics, Inc.
$166
TELA Bio, Inc.
$151
Boston Scientific Corporation
$149
Innovation Technologies Inc
$143
Smith+Nephew, Inc.
$142
Axonics Modulation Technologies, Inc.
$123
KCI USA, Inc.
$118
CONMED Corporation
$111
Coloplast Corp
$107
Sanara MedTech Inc.
$105
COLOPLAST CORP
$83
Merck Sharp & Dohme Corporation
$59
Hollister Incorporated
$30
Medtronic USA, Inc.
$29
Abbott Laboratories
$28
Shire North American Group Inc
$27
Medtronic Vascular, Inc.
$19
Merck Sharp & Dohme LLC
$17
Top 3 companies account for 37.1% of all-time payments
Associated products mentioned in payments ›
AIRSEAL · AMNIOEXCEL · ActivSight · Axonics · Axonics r-SNM System · BRIDION · CellerateRx · Cologuard Collection Kit · Da Vinci Surgical System · EEA · ENDO GIA ULTRA · Echelon Flex · Echelon Powered Circular · Enseal X1 · FUJIFILM · FreeStyle Libre 2 · GATTEX · GENERAL PAIN MANAGEMENT · Harmonic · IN.PACT Admiral · INSPIRA · INTERSTIM · Integra · Irrisept · LigaSure · Neuromodulation Dspsbls and Accs · OMNIGRAFT · OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) · PICO Single Use Negative Pressure Wound Therapy · PREVENA · PROGRIP · RENASYS TOUCH · Resolution Clip · SIGNIA · SONICISION · SenSura Mio · Sonicision · VIDEO PROCESSOR · VaPro Plus Pocket · iDrive
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a surgery specialist in Williamsville?
Compare surgerists in the Williamsville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists within 10 mi
103
Per 100K population
10.8
County median income
$71,175
Nearest hospital
UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTERN NY VA HEALTHCARE SYSTEM)
5.6 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Falvo is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Falvo experienced with moderate sedation during gi endoscopy?
Based on Medicare claims data, Dr. Falvo performed 32 moderate sedation during gi endoscopy services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Falvo receive payments from pharmaceutical companies?
Yes. Dr. Falvo received a total of $5,618 from 28 companies across 69 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Falvo's costs compare to other surgerists in Williamsville?
Dr. Falvo's average Medicare payment per service is $99. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Falvo) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →