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DR. MARITA MAPUA FALLORINA M.D.
NPI 1417918897
Family Medicine in New Castle, DE

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
1 CATHERINE ST, NEW CASTLE, DE 19720(302) 322-6847(302) 322-6909 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marita Mapua Fallorina M.d. NPPES

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

DR. MARITA MAPUA FALLORINA M.D. (NPI 1417918897) is an individual family medicine provider in New Castle, Delaware, licensed in Delaware (C10000755) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1965).

NPPES Registry Identity

NPI1417918897
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARITA MAPUA FALLORINACredential: M.D.
Location Address1 CATHERINE STNew Castle, DE 19720-3001
Mailing Address1 Catherine StNew Castle, DE 19720-3001 · (302) 322-6847 · Fax (302) 322-6909
Phone(302) 322-6847
Fax(302) 322-6909
Sole ProprietorYes
Medical School CMSOtherGraduated 1965
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 10, 2015
✔ NPI 1417918897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C10000755
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License C10000755 (DE)
1 CATHERINE ST, New Castle, DE 19720
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Other Identifiers 3

Medicaid48401DE
Medicare UPINC48727DE
Medicare ID-Type Unspecified123610DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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. Marita Mapua Fallorina M.d. 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 ID7517144462
PECOS Enrollment IDI20110602000307
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 2

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.

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.
73 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19720 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers13 claims22 services$4.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MARITA FALLORINA LLC FALLORINA MARITA M SINGLE MEMBER
Family Medicine
1 CATHERINE ST, STE 1
NEW CASTLE, DE 19720
New Castle County (302) 322-6847

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 Marita Fallorina's NPI number?

The NPI number for Marita Fallorina is 1417918897. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Marita Fallorina located?

Marita Fallorina practices at 1 Catherine St, New Castle, DE 19720. The listed phone number is (302) 322-6847.

What is Marita Fallorina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marita Fallorina enrolled in Medicare?

Yes. Marita Fallorina 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 Marita Fallorina accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Marita Fallorina 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.

When was this NPI record last updated?

The NPPES record for Marita Fallorina was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.