DR. DAVID JEROLD FALLAW MD
NPI 1437370939
Internal Medicine in Augusta, GA

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1120 15TH ST DEPT OF, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 3, 2020, Aug 10, 2016 (2 updates tracked since 2016).

About Dr. David Jerold Fallaw Md NPPES

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

DR. DAVID JEROLD FALLAW MD (NPI 1437370939) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (62980) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2006).

NPPES Registry Identity

NPI1437370939
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID JEROLD FALLAWCredential: MD
Location Address1120 15TH ST DEPT OFAugusta, GA 30912-0004
Mailing Address1120 15th St # Bi1056Augusta, GA 30912-0004 · (706) 721-3813
Fax(706) 721-1459
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2006
Enumeration DateMay 1, 2007
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1437370939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 62980
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.
1120 15TH ST DEPT OF, Augusta, GA 30912

Accepted 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. David Jerold Fallaw 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 ID4789730086
PECOS Enrollment IDI20090928000363
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.
146 services72 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 4

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

Anesthesiology
1120 15TH ST DEPT OF
AUGUSTA, GA 30912
Psychiatry & Neurology (Psychiatry)
1120 15TH ST DEPT OF
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST DEPT OF
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST DEPT OF
AUGUSTA, GA 30912

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 David Fallaw's NPI number?

The NPI number for David Fallaw is 1437370939. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is David Fallaw located?

David Fallaw practices at 1120 15th St Dept Of, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is David Fallaw's specialty?

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

Is David Fallaw enrolled in Medicare?

Yes. David Fallaw 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 David Fallaw accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list David Fallaw 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 David Fallaw affiliated with any hospitals?

According to CMS data, David Fallaw is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for David Fallaw was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.