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KIMBERLY L. FALLON M.D.
NPI 1477674737
Obstetrics & Gynecology in Teaneck, NJ

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
718 TEANECK RD STE 301, TEANECK, NJ 07666(551) 288-1025 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly L. Fallon M.d. NPPES

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

KIMBERLY L. FALLON M.D. (NPI 1477674737) is an individual obstetrics & gynecology provider in Teaneck, New Jersey, licensed in New Jersey (25MA07265900) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (1997).

NPPES Registry Identity

NPI1477674737
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY L. FALLONCredential: M.D.
Location Address718 TEANECK RD STE 301Teaneck, NJ 07666-4245
Mailing Address3 University Plz Ste 205Hackensack, NJ 07601-6208 · (201) 833-3000
Phone(551) 288-1025
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1997
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1477674737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA07265900
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
718 TEANECK RD STE 301, Teaneck, NJ 07666
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly L. Fallon 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 ID6507923331
PECOS Enrollment IDI20111121000803
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

2

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

Excelcare Medical Associates, PA
Same address
Internal Medicine
718 TEANECK RD
Teaneck, NJ 07666
  • Reassigned Medicare billing, New Jersey enrollment
  • 233 clinicians in this Medicare group
NPI 1992736300 (201) 833-3000
Valley Physician Services PC
4.9 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
32 services32 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
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.
27 services24 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.
18 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07666 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,023 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%260 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%1,738 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%1,738 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
85%1,738 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
79%1,738 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. SHONDA M. CORBETT MD
Obstetrics & Gynecology
718 TEANECK RD STE 301
TEANECK, NJ 07666
Bergen County (551) 288-1025

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 Kimberly Fallon's NPI number?

The NPI number for Kimberly Fallon is 1477674737. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Kimberly Fallon located?

Kimberly Fallon practices at 718 Teaneck Rd Ste 301, Teaneck, NJ 07666. The listed phone number is (551) 288-1025.

What is Kimberly Fallon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Fallon enrolled in Medicare?

Yes. Kimberly 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.

Which organizations bill Medicare for Kimberly Fallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fallon reassigns Medicare benefits to 2 organizations: Excelcare Medical Associates, PA (Teaneck, NJ) and Valley Physician Services PC (Paramus, NJ). 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 Kimberly Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Fallon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kimberly Fallon 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 Kimberly Fallon affiliated with any hospitals?

According to CMS data, Kimberly Fallon is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Valley Hospital and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Fallon was last updated on March 6, 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.