FALLON VICTORIA ETKIN PA-C
NPI 1871101501
Physician Assistant in Halfmoon, NY

Active since July 20, 2020PECOS Enrolled
80.06/100
CMS Quality Rating
1783 ROUTE 9 STE 204, HALFMOON, NY 12065(518) 371-9355(518) 373-9139 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, May 8, 2023, Jul 20, 2020 (3 updates tracked since 2020).

About Fallon Victoria Etkin Pa-c NPPES

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

FALLON VICTORIA ETKIN PA-C (NPI 1871101501) is an individual physician assistant in Halfmoon, New York, licensed in New York (025188) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2020).

NPPES Registry Identity

NPI1871101501
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFALLON VICTORIA ETKINCredential: PA-C
Location Address1783 ROUTE 9 STE 204Halfmoon, NY 12065-2466
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799
Fax(518) 373-9139
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2020
Enumeration DateJuly 20, 2020
Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1871101501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 025188
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1783 ROUTE 9 STE 204, Halfmoon, NY 12065

Other Identifiers 1

Medicaid06679469NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fallon Victoria Etkin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113330762
PECOS Enrollment IDI20201229000497
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 14

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 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.
133 services101 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
77 services69 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
70 services61 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
54 services46 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.
48 services48 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.
45 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.13
Improvement Activities40
Cost60.81

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.

Physician Assistant
1783 ROUTE 9 STE 204
HALFMOON, NY 12065
Physician Assistant
1783 ROUTE 9 STE 204
HALFMOON, NY 12065
Physician Assistant
1783 ROUTE 9 STE 204
HALFMOON, NY 12065
Nurse Practitioner (Family)
1783 ROUTE 9 STE 204
HALFMOON, NY 12065
Nurse Practitioner (Family)
1783 ROUTE 9 STE 204
HALFMOON, NY 12065
Physician Assistant
1783 ROUTE 9 STE 204
HALFMOON, NY 12065

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 Fallon Etkin's NPI number?

The NPI number for Fallon Etkin is 1871101501. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Fallon Etkin located?

Fallon Etkin practices at 1783 Route 9 Ste 204, Halfmoon, NY 12065. The listed phone number is (518) 371-9355.

What is Fallon Etkin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fallon Etkin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Fallon Etkin was last updated on October 2, 2023. 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.