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SHEILA FALLOON M.D.
NPI 1831166073
Hospitalist in Fort Wayne, IN

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 434-7088(260) 435-7394 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sheila Falloon M.d. NPPES

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

SHEILA FALLOON M.D. (NPI 1831166073) is an individual hospitalist provider in Fort Wayne, Indiana, licensed in Indiana (01043979) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1994).

NPPES Registry Identity

NPI1831166073
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHEILA FALLOONCredential: M.D.
Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address7916 W Jefferson BlvdFort Wayne, IN 46804-4140 · (260) 434-6377 · Fax (260) 434-6389
Phone(260) 434-7088
Fax(260) 435-7394
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1994
Enumeration DateMarch 7, 2006
Last NPPES UpdateJune 21, 2016
✔ NPI 1831166073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IN · 01043979
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01043979A (IN)
7950 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Names 1

Former Name (1)Sheila Konger M.d.

Other Identifiers 5

Medicaid200515420IN
Medicare PINMI8546001IN
Medicare UPINF54171
Other000000363549IN · Anthem
Medicare PIN260690YIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sheila Falloon 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 ID4486601325
PECOS Enrollment IDI20050603001011
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services34 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.
15 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 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%64 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.

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.

DR. ANURADHA G BOMMAKANTI M.D.
Internal Medicine (Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
VANESKA BOTTINO DA COSTA M.D.
Pediatrics (Pediatric Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
MISS JACQUELINE SHEPARD
Physician Assistant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
EMERGENCY PROFESSIONALS OF INDIANA, P.C.
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-2699
PAMELA THOMAS MD
Pediatrics
7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Allen County (260) 432-2297
DR. AHDY MESSIHA M.D.
Radiology (Diagnostic Radiology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-1568
LESLIE LEINS PHARMD
Pharmacist (Emergency Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7734
GORDON HENRY BOKHART PHARM D.
Pharmacist
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804
Allen County (260) 435-7718

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 Sheila Falloon's NPI number?

The NPI number for Sheila Falloon is 1831166073. It was assigned to this individual provider in the NPPES registry on March 7, 2006. The provider is also known as Sheila Konger M.D..

Where is Sheila Falloon located?

Sheila Falloon practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 434-7088.

What is Sheila Falloon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sheila Falloon enrolled in Medicare?

Yes. Sheila Falloon 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 Sheila Falloon accept?

Health plans from CareSource list Sheila Falloon 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 Sheila Falloon was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.