DR. ANNE FALLON M.D.
NPI 1457763583
Pediatrics in Rochester, NY

Q: What is Anne Fallon's NPI number?

The NPI number for Anne Fallon is 1457763583. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Q: What is Anne Fallon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Anne Fallon was last updated on June 30, 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 May 23, 2014PECOS Enrolled

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 276-4113 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2018, Mar 20, 2017 (2 updates tracked since 2017).

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About Dr. Anne Fallon M.d. NPPES

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

DR. ANNE FALLON M.D. (NPI 1457763583) is an individual pediatrics provider in Rochester, New York, licensed in New York (288138) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457763583

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ANNE FALLONCredential: M.D.

Location Address601 ELMWOOD AVERochester, NY 14642-4319

Mailing Address601 Elmwood Ave Box 635Rochester, NY 14642-0001 · (585) 276-4113 · Fax (585) 276-1128

Phone(585) 276-4113

Sole ProprietorNo

Enumeration DateMay 23, 2014

Last NPPES UpdateJune 30, 20232 updates tracked since enumeration

✔ NPI 1457763583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 288138✔ Licensed in PA · MT205868

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 288138 (NY)

601 ELMWOOD AVE, Rochester, NY 14642

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anne Fallon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Anne Fallon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Group Univ Of Rochester

Same address

Pediatric Hematology-Oncology

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
88 clinicians in this Medicare group

NPI 1083271787 (585) 275-2981

Boston Children's Health Physicians, LLP

241 mi

Pediatrics

19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532

Reassigned Medicare billing, New York enrollment
511 clinicians in this Medicare group

NPI 1467454967 (914) 594-2100

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 14642 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

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.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

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 Anne Fallon's NPI number?

The NPI number for Anne Fallon is 1457763583. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Anne Fallon located?

Anne Fallon practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 276-4113.

What is Anne Fallon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anne Fallon enrolled in Medicare?

Yes. Anne Fallon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anne Fallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Fallon reassigns Medicare benefits to 2 organizations: Pediatric Group Univ Of Rochester (Rochester, NY) and Boston Children's Health Physicians, LLP (Hawthorne, NY). Each 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 Anne Fallon'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 Anne Fallon was last updated on June 30, 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.