MARK DAVID FALLON-CYR (MD) – Child & Adolescent Psychiatry Physician, NPI 1174550909

MARK DAVID FALLON-CYR (MD) is a healthcare provider. based in Durango, Colorado. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 31873 (CO). The NPI Number for MARK DAVID FALLON-CYR (MD) is 1174550909

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MARK DAVID FALLON-CYR (MD)
NPI
1174550909
Phone
(970) 259-2162
Address
PO BOX 1328
Enumeration Date
27 June 2006
Last Update Date
14 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9286565165
Graduation Year
1986 (40 years ago)
PAC ID
6406954866
Group Practice PAC ID
0749193837
Professional Enrollment ID
I20170713001225
Address ID
AZ865140000TEUSXXXMESA800
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

607 PSYCHIATRY in CO

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Provider Addresses for MARK DAVID FALLON-CYR (MD)

  • Le Durango, Rue de la Fontaine, Quartier du Hédas, Centre Ville, Pau, Pyrénées-Atlantiques, Nouvelle-Aquitaine, Metropolitan France, 64000, France

    DURANGO, CO 813021328

    Phone: (970) 259-2162

    Fax: (970) 247-0455

    Type: Mailing

  • 281, Sawyer Drive, Durango, La Plata County, Colorado, 81303, United States

    SUITE 100

    DURANGO, CO 813033409

    Phone: (970) 259-2162

    Fax: (970) 247-0455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170713001225IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749193837View full group profile

Reviews

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Frequently asked questions

Can I verify MARK DAVID FALLON-CYR (MD) with an NPI only?
You can start verification with NPI 1174550909 for MARK DAVID FALLON-CYR (MD), then check state licensing separately.
Does the file indicate MARK DAVID FALLON-CYR (MD) is practicing under active NPI?
Directory data currently reports MARK DAVID FALLON-CYR (MD) as active.
What is MARK DAVID FALLON-CYR (MD)'s specialty?
The listing groups MARK DAVID FALLON-CYR (MD) with Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MARK DAVID FALLON-CYR (MD) on a map?
Expect Durango, Colorado as a primary anchor for MARK DAVID FALLON-CYR (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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