MARGARITA FALLENA MD
NPI 1760686737
Internal Medicine - Rheumatology in Dallas, TX

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
12740 HILLCREST RD STE 265, DALLAS, TX 75230(972) 513-1410(469) 565-9885 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Margarita Fallena Md NPPES

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

MARGARITA FALLENA MD (NPI 1760686737) is an individual rheumatology provider in Dallas, Texas, licensed in Texas (M9271) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1760686737
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMARGARITA FALLENACredential: MD
Location Address12740 HILLCREST RD STE 265Dallas, TX 75230-2086
Mailing Address12740 Hillcrest Rd Ste 265Dallas, TX 75230-2086 · (972) 513-1410 · Fax (469) 565-9885
Fax(469) 565-9885
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 13, 2007
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1760686737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · M9271
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
12740 HILLCREST RD STE 265, Dallas, TX 75230

Other Identifiers 1

OtherBP3-0029767Institutional Permit

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

Margarita Fallena 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 ID3779639232
PECOS Enrollment IDI20090924000430
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 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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,620 services17 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.
292 services136 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
92 services20 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.
44 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 6

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

Nurse Practitioner (Family)
12740 HILLCREST RD STE 265
DALLAS, TX 75230
Internal Medicine (Rheumatology)
12740 HILLCREST RD STE 265
DALLAS, TX 75230
Internal Medicine (Rheumatology)
12740 HILLCREST RD STE 265
DALLAS, TX 75230
Internal Medicine (Rheumatology)
12740 HILLCREST RD STE 265
DALLAS, TX 75230
Surgery (Vascular Surgery)
12740 HILLCREST RD STE 265
DALLAS, TX 75230
Internal Medicine (Rheumatology)
12740 HILLCREST RD STE 265
DALLAS, TX 75230

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 Margarita Fallena's NPI number?

The NPI number for Margarita Fallena is 1760686737. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Margarita Fallena located?

Margarita Fallena practices at 12740 Hillcrest Rd Ste 265, Dallas, TX 75230. The listed phone number is (972) 513-1410.

What is Margarita Fallena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Margarita Fallena enrolled in Medicare?

Yes. Margarita Fallena 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 Margarita Fallena accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Margarita Fallena 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 Margarita Fallena was last updated on January 24, 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.