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DAWN ROSE FALLON NP
NPI 1437987385
Nurse Practitioner - Family in East Moriches, NY

Active since July 23, 2024PECOS EnrolledAccepts Medicare Assignment
516 MONTAUK HWY STE 1E, EAST MORICHES, NY 11940(631) 874-2900 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dawn Rose Fallon Np NPPES

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

DAWN ROSE FALLON NP (NPI 1437987385) is an individual family provider in East Moriches, New York, licensed in New York (353356) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1437987385
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN ROSE FALLONCredential: NP
Location Address516 MONTAUK HWY STE 1EEast Moriches, NY 11940-1236
Mailing Address17 N Ingelore CtSmithtown, NY 11787-1544
Phone(631) 874-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1437987385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 353356
516 MONTAUK HWY STE 1E, East Moriches, NY 11940
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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

Dawn Rose Fallon Np 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 ID1759811276
PECOS Enrollment IDI20250212002156
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.
16 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11940 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Dawn Fallon's NPI number?

The NPI number for Dawn Fallon is 1437987385. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Dawn Fallon located?

Dawn Fallon practices at 516 Montauk Hwy Ste 1E, East Moriches, NY 11940. The listed phone number is (631) 874-2900.

What is Dawn Fallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dawn Fallon enrolled in Medicare?

Yes. Dawn Fallon 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.

When was this NPI record last updated?

The NPPES record for Dawn Fallon was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.