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ANDREW J FALLIS MD
NPI 1922071372
Family Medicine in New York, NY

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
55 E 34TH ST FL 1, NEW YORK, NY 10016(212) 252-6131(212) 252-6105 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew J Fallis Md NPPES

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

ANDREW J FALLIS MD (NPI 1922071372) is an individual family medicine provider in New York, New York, licensed in New York (222886) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1996).

NPPES Registry Identity

NPI1922071372
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW J FALLISCredential: MD
Location Address55 E 34TH ST FL 1New York, NY 10016-4337
Mailing AddressPo Box 95000-2454Philadelphia, PA 19195-2454 · (914) 749-7000 · Fax (914) 769-1824
Phone(212) 252-6131
Fax(212) 252-6105
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1996
Enumeration DateFebruary 8, 2006
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1922071372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 222886
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

55 E 34TH ST FL 1, New York, NY 10016
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Other Identifiers 3

Medicare UPINH65554
Medicaid02270193NY
Medicare ID-Type Unspecified48V611NY

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

Andrew J Fallis 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 ID4284713462
PECOS Enrollment IDI20080430000337
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
73 services57 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
66 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services37 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 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.
13 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

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

NANCY ROBERTS MALEK D.O.
Otolaryngology
55 E 34TH ST FL 1
NEW YORK, NY 10016
New York County (212) 252-6131

Frequently Asked Questions

What is Andrew Fallis's NPI number?

The NPI number assigned to this healthcare provider is 1922071372, enumerated as an "individual" on February 08, 2006.

Where is the provider located?

The provider is located at 55 E 34TH ST FL 1 NEW YORK, NY 10016 and the phone number is (212) 252-6131.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Andrew Fallis accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.