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JULIE C FALLON M.D.
NPI 1790777506
Internal Medicine in Templeton, CA

Active since August 17, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2062370 · Waiver
76.79/100
CMS Quality Rating
295 POSADA LN, SUITE D, TEMPLETON, CA 93465(805) 434-9900(805) 434-9933 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julie C Fallon M.d. NPPES

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

JULIE C FALLON M.D. (NPI 1790777506) is an individual internal medicine provider in Templeton, California, licensed in California (A049268) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 15, 2027, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1790777506
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJULIE C FALLONCredential: M.D.
Location Address295 POSADA LN, SUITE DTempleton, CA 93465-4055
Mailing Address295 Posada Ln, Suite DTempleton, CA 93465-4055 · (805) 434-9900 · Fax (805) 434-9933
Phone(805) 434-9900
Fax(805) 434-9933
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 17, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1790777506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A049268
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.
295 POSADA LN, Templeton, CA 93465
Open in Google Maps ↗

Other Identifiers 3

OtherA049268CA · Blue Shield
OtherA049268CA · Blue Cross
Medicaid00A492680CA

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

Julie C 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 ID7416035589
PECOS Enrollment IDI20080415000727
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2062370

Julie C Fallon MD · Templeton, CA
Active · expires Jul 15, 2027
CLIA Number05D2062370
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorJulie C. Fallon
Laboratory Phone(805) 434-9900
Laboratory LocationJulie C Fallon MD295 Posada Ln Ste D, Templeton, CA 93465
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.
1,398 services484 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
306 services306 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
65 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
62 services60 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
47 services36 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.
44 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93465 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.45
Promoting Interoperability100
Improvement Activities40
Cost53.18

Reported Quality Measures

Advance Care Plan
100%640 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
52%496 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
65%139 patients2/55-star benchmark: 91%
e-Prescribing
99%1,355 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
87%1,320 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
46%962 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 1,034 patients
Patients screened: 88% · 1,034 patients
92%53 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%685 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers35 claims70 services$5.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims12 services$0.99 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims61 services$12.53 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$51.45 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$18.27 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers12 claims12 services$15.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

ANDREW S DENNISH MD, FACC
Internal Medicine (Cardiovascular Disease)
295 POSADA LN, SUITE A
TEMPLETON, CA 93465
San Luis Obispo County (805) 782-8844
SHANNON M BERRY M.D.
Internal Medicine
295 POSADA LN, SUITE D
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-9900
LAWRENCE E VONDOLLEN MD, FACC
Internal Medicine (Cardiovascular Disease)
295 POSADA LN, STE A
TEMPLETON, CA 93465
San Luis Obispo County (805) 782-8844
CENTRAL COAST FACIAL SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
295 POSADA LN, SUITE B
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-5960
ROMAN PLATON BUKACHEVSKY M.D.
Otolaryngology
295 POSADA LN, SUITE B
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-5960
MS. LIBBY A KERR RN BSN CDE
Registered Nurse (Diabetes Educator)
295 POSADA LN, SUITE C
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-1166
ROMAN P. BUKACHEVSKY, MD, INC
Specialist
295 POSADA LN, SUITE B
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-5960
DR. STEVEN JEROME MCALLEN M.D.
Internal Medicine
295 POSADA LN, SUITE C
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-1166

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 Julie Fallon's NPI number?

The NPI number for Julie Fallon is 1790777506. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Julie Fallon located?

Julie Fallon practices at 295 Posada Ln Suite D, Templeton, CA 93465. The listed phone number is (805) 434-9900.

What is Julie Fallon's specialty?

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

Is Julie Fallon enrolled in Medicare?

Yes. Julie 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.

Does Julie Fallon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2062370) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Julie Fallon was last updated on March 7, 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.