BRIAN PATRICK FALLON (MD) – Pediatric Surgery Physician, NPI 1255781985

BRIAN PATRICK FALLON (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 1015396 (MA). The NPI Number for BRIAN PATRICK FALLON (MD) is 1255781985

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN PATRICK FALLON (MD)
NPI
1255781985
Phone
(617) 414-5131
Address
725 Albany St, Suite 3B
Enumeration Date
14 June 2016
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
6173556000
Graduation Year
2016 (10 years ago)
PAC ID
1456642644
Group Practice PAC ID
7012016488
Professional Enrollment ID
I20250728003903
Address ID
MA021155724BO300XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

Provider Addresses for BRIAN PATRICK FALLON (MD)

  • 725 Albany St, Suite 3B

    Shapiro Bldg.

    Boston, MA 021183549

    Phone: (617) 414-5131

    Fax: (617) 414-3806

    Type: Location

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    2110 TAUBMAN CENTER

    ANN ARBOR, MI 481095346

    Phone:

    Type: Mailing

  • 300 LONGWOOD AVE

    BOSTON, MA 021155724

    Phone: (617) 355-6000

    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: 2025-07-28

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
I20250728003903IGeneral SurgeryMATBD

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.

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

Insurance plans in this area (ZIP 02118)

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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: 7012016488View full group profile
NameSpecialtyState
General SurgeryMA
General Surgery, Pediatric MedicineMA
-MA
General SurgeryMA
-MA
General SurgeryMD
General Surgery, Pediatric MedicineMA
General Surgery, Critical Care (Intensivists)MA
Nurse PractitionerMA
General SurgeryMA

Reviews

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Frequently asked questions

Can I use this page to confirm BRIAN PATRICK FALLON (MD)'s NPI?
Yes. BRIAN PATRICK FALLON (MD) is listed with NPI 1255781985 in the public NPI dataset.
Can I rely on BRIAN PATRICK FALLON (MD) being an active provider?
As of the registry snapshot, BRIAN PATRICK FALLON (MD) is marked active.
What is BRIAN PATRICK FALLON (MD)'s specialty?
The listing groups BRIAN PATRICK FALLON (MD) with Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is BRIAN PATRICK FALLON (MD) based?
BRIAN PATRICK FALLON (MD) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about BRIAN PATRICK FALLON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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