DR. FALLON LONGMIRE MD
NPI 1306409545
Internal Medicine in St Petersburg, FL

Q: What is Fallon Longmire's NPI number?

The NPI number for Fallon Longmire is 1306409545. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Q: What is Fallon Longmire's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Fallon Longmire was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 14, 2019PECOS EnrolledAccepts Medicare Assignment

901 22ND AVE S, ST PETERSBURG, FL 33705(727) 310-0925(727) 498-5470 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2023, Apr 14, 2019 (2 updates tracked since 2019).

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About Dr. Fallon Longmire Md NPPES

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

DR. FALLON LONGMIRE MD (NPI 1306409545) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (ME160275) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bradenton, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306409545

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. FALLON LONGMIRECredential: MD

Location Address901 22ND AVE SSt Petersburg, FL 33705-2933

Mailing Address901 22nd Ave SSt Petersburg, FL 33705-2933 · (727) 310-0925 · Fax (727) 498-5470

Phone(727) 310-0925

Fax(727) 498-5470

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 14, 2019

Last NPPES UpdateJune 20, 20232 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1306409545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME160275

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

901 22ND AVE S, St Petersburg, FL 33705

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Secondary Practice Location 1

Location 1206 2nd St EBradenton, FL 34208-1042 · Phone (941) 746-5111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fallon Longmire Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214263805

PECOS Enrollment IDI20230627001152

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 Fallon Longmire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Senior Medical Center Of Florida, LLC

11 mi

Specialist

7050 ULMERTON RD
Largo, FL 33771

Reassigned Medicare billing, Florida enrollment
348 clinicians in this Medicare group

NPI 1659888741 (305) 628-6117

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33705 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. ADITI BHARDWAJ MD

Internal Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

ORLANDO A. PINERO BRICENO MD

Internal Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

MANISH B. BARIA M.D.

Internal Medicine

901 22ND AVE S
SAINT PETERSBURG, FL 33705

Pinellas County (727) 310-0925

TRUC VAN NGUYEN RPH

Pharmacist

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 896-4414

ALEXANDRA VAN DER WEYDEN MD

Family Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

FALLON SMITH HAYES BANTON

Family Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

VIBHUTI N. SINGH M.D.

Internal Medicine (Interventional Cardiology)

901 22ND AVE S
SAINT PETERSBURG, FL 33705

Pinellas County (727) 310-0925

DR. MO CALE D.O.

Family Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

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 Fallon Longmire's NPI number?

The NPI number for Fallon Longmire is 1306409545. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Where is Fallon Longmire located?

Fallon Longmire practices at 901 22nd Ave S, St Petersburg, FL 33705. The listed phone number is (727) 310-0925.

What is Fallon Longmire's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fallon Longmire enrolled in Medicare?

Yes. Fallon Longmire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Fallon Longmire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fallon Longmire reassigns Medicare benefits to Dedicated Senior Medical Center Of Florida, LLC (Largo, FL). 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 Fallon Longmire'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 Fallon Longmire was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.