ALICIA J FALLER (MD) – Emergency Medicine Physician, NPI 1104866508

ALICIA J FALLER (MD) is a healthcare provider. based in Kennebunk, Maine. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35232 (NH). The NPI Number for ALICIA J FALLER (MD) is 1104866508

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA J FALLER (MD)
NPI
1104866508
Phone
(207) 467-6900
Address
2 Livewell Dr
Enumeration Date
7 June 2006
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
6406869106
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20060725000275
Address ID
ME040732642SA25XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

403 EMERGENCY MEDICINE in ME

Provider Addresses for ALICIA J FALLER (MD)

  • 2 Livewell Dr

    Kennebunk, ME 040436762

    Phone: (207) 467-6900

    Fax: (207) 467-6921

    Type: Location

  • 22 Bramhall St

    Portland, ME 041023134

    Phone: (207) 662-2381

    Type: Location

  • 335 Brighton Ave

    Portland, ME 041022363

    Phone: (207) 662-0111

    Fax: (207) 662-8133

    Type: Location

  • 1976 White Mountain Hwy Ste 105

    North Conway, NH 038605147

    Phone: (603) 356-4940

    Fax: (603) 371-3250

    Type: Location

  • 10 Goodall Dr Ste 900

    East Waterboro, ME 040305233

    Phone: (207) 490-7505

    Fax: (207) 490-7529

    Type: Location

  • 655 Main St

    Saco, ME 040721699

    Phone: (207) 294-5600

    Fax: (207) 294-3565

    Type: Location

  • 300 Main St

    Lewiston, ME 042407027

    Phone: (207) 795-0111

    Type: Location

  • 25 June St

    Sanford, ME 040732621

    Phone: (207) 490-7450

    Fax: (207) 490-7452

    Type: Location

  • 25A June St Ste 11

    Sanford, ME 040732642

    Phone: (207) 490-7900

    Fax: (207) 490-7969

    Type: Location

  • Central Maine Medical Center, 300, Main Street, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042407027

    Phone: (207) 795-0111

    Type: Mailing

  • 1 MEDICAL CENTER DR

    BIDDEFORD, ME 040059422

    Phone: (207) 294-5000

    Fax: (207) 294-5227

    Type: Mailing

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: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060725000275IEmergency MedicineMETBD
I20260114000146IEmergency MedicineNHTBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7064$0
99285Emergency department visit with high level of medical decision making5050$0
99284Emergency department visit with moderate level of medical decision making3332$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 04043)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

How do payers reference ALICIA J FALLER (MD)?
For ALICIA J FALLER (MD), use NPI 1104866508 as the unique 10-digit identifier.
Active or inactive — what applies to ALICIA J FALLER (MD)?
You should see ALICIA J FALLER (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for ALICIA J FALLER (MD)?
At a glance, ALICIA J FALLER (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALICIA J FALLER (MD)?
Travel planning: use Kennebunk, Maine as the reference point for ALICIA J FALLER (MD), then confirm.
Can I trust this NPI listing for ALICIA J FALLER (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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