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DR. ZIANKA H FALLIL MD
NPI 1376861948
Psychiatry & Neurology - Neurology in Rochester, NY

Active since May 06, 2010PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1425 PORTLAND AVE LBBY LEVEL, ROCHESTER, NY 14621(585) 922-4111(585) 922-5941 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2019, Nov 27, 2018 (2 updates tracked since 2018).

About Dr. Zianka H Fallil Md NPPES

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

DR. ZIANKA H FALLIL MD (NPI 1376861948) is an individual neurology provider in Rochester, New York, licensed in New York (261527) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Palm Bay Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1376861948
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ZIANKA H FALLILCredential: MD
Location Address1425 PORTLAND AVE LBBY LEVELRochester, NY 14621-3011
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(585) 922-4111
Fax(585) 922-5941
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 6, 2010
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1376861948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NY · 261527✔ Licensed in FL · ME137765✔ Licensed in NJ · 25MA09776500
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1425 PORTLAND AVE LBBY LEVEL, Rochester, NY 14621
Open in Google Maps ↗

Secondary Practice Location 1

Location 12655 Ridgeway Ave Ste 420Rochester, NY 14626-4296 · Phone (585) 723-7972 · Fax (585) 368-3119

Other Identifiers 3

Medicaid0484148NJ
Medicaid101484300FL
OtherKN000FL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Zianka H Fallil 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 ID7719120195
PECOS Enrollment IDI20130904000556, I20181228001240
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
188 services118 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
153 services145 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
60 services58 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
37 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

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.

SOWMYA LAKSHMINARAYANAN MD
Psychiatry & Neurology (Neurology)
1425 PORTLAND AVE LBBY LEVEL
ROCHESTER, NY 14621
Monroe County (585) 922-4111
DAYNA BASIC
Nurse Practitioner (Acute Care)
1425 PORTLAND AVE LBBY LEVEL
ROCHESTER, NY 14621
Monroe County (585) 922-4111

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 Zianka Fallil's NPI number?

The NPI number for Zianka Fallil is 1376861948. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Zianka Fallil located?

Zianka Fallil practices at 1425 Portland Ave Lbby Level, Rochester, NY 14621. The listed phone number is (585) 922-4111.

What is Zianka Fallil's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Zianka Fallil enrolled in Medicare?

Yes. Zianka Fallil 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.

What insurance does Zianka Fallil accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Zianka Fallil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Zianka Fallil affiliated with any hospitals?

According to CMS data, Zianka Fallil is affiliated with Palm Bay Hospital and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Zianka Fallil was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.