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MICHAEL FALLERT
NPI 1285634733
Internal Medicine - Cardiovascular Disease in Pittsburgh, PA

Active since July 27, 2005PECOS Enrolled
77.5/100
CMS Quality Rating
1350 LOCUST ST STE 100, SUITE 100, PITTSBURGH, PA 15219(412) 232-9030 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Fallert NPPES

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

MICHAEL FALLERT (NPI 1285634733) is an individual cardiovascular disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD039670E) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285634733
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL FALLERT
Location Address1350 LOCUST ST STE 100, SUITE 100Pittsburgh, PA 15219-4738
Mailing Address490 E Nortth Ave, Ste. 515Pittsburgh, PA 15212-4740
Phone(412) 232-9030
Sole ProprietorNo
Enumeration DateJuly 27, 2005
Last NPPES UpdateMarch 25, 2021
✔ NPI 1285634733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD039670E
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1350 LOCUST ST STE 100, Pittsburgh, PA 15219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Fallert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Fallert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
0.7 mi
Internal Medicine
339 6TH AVE, 5TH FLOOR
Pittsburgh, PA 15222
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225167497 (412) 261-8762

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
244 services218 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
204 services201 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
114 services103 patients
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.
113 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services47 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 2

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

MRS. ANISHA N SHAH M.D.
Internal Medicine (Cardiovascular Disease)
1350 LOCUST ST STE 100, SOUTHWESTERN PA CARDIOVASCULAR ASSOCIATES
PITTSBURGH, PA 15219
Allegheny County (412) 562-3292
CHRISTINA RIDDLE
Physician Assistant
1350 LOCUST ST STE 100, SUITE 100
PITTSBURGH, PA 15219
Allegheny County (412) 232-9030

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 Michael Fallert's NPI number?

The NPI number for Michael Fallert is 1285634733. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Michael Fallert located?

Michael Fallert practices at 1350 Locust St Ste 100 Suite 100, Pittsburgh, PA 15219. The listed phone number is (412) 232-9030.

What is Michael Fallert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Fallert enrolled in Medicare?

Yes. Michael Fallert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Fallert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fallert reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Fallert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Fallert was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.