PAUL F. FALLON (MD) – Internal Medicine Physician, NPI 1437145927
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,722 INTERNAL MEDICINE in MA
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Provider Addresses for PAUL F. FALLON (MD)
Brighton Marine Health Center, 77, Warren Street, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
RM 339
BRIGHTON, MA 02135
Phone: (617) 562-5359
Fax: (617) 562-5415
Type: Mailing
280, Washington Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
BRIGHTON, MA 021353511
Phone: (617) 782-5316
Fax: (617) 783-8017
Type: Location
780 ALBANY ST
BOSTON, MA 021182755
Phone: (857) 654-1000
Fax: (857) 654-1100
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: 2005-04-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050419001182 | I | Internal Medicine | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 606 | 215 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 130 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 76 | 76 | $0 |
| G0008 | Administration of influenza virus vaccine | 71 | 71 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 67 | 67 | $0 |
Insurance plans in this area (ZIP 02135)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| O P T O M E T R Y | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Clinical Social Worker | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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