EDWARD C. FALLON (M.D.) – Diagnostic Radiology Physician, NPI 1245234764

EDWARD C. FALLON (M.D.) is a healthcare provider. based in West reading, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD-013890-E (PA). The NPI Number for EDWARD C. FALLON (M.D.) is 1245234764

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD C. FALLON (M.D.)
NPI
1245234764
Phone
(484) 628-8108
Address
301 S 7TH AVE
Enumeration Date
13 June 2005
Last Update Date
11 February 2016

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4846288108
Graduation Year
1971 (55 years ago)
PAC ID
8729168802
Group Practice PAC ID
7618889213
Professional Enrollment ID
I20100503000327
Address ID
PA196112143WE420XXAVEX419
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,577 DIAGNOSTIC RADIOLOGY in PA

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Provider Addresses for EDWARD C. FALLON (M.D.)

  • South 7th Avenue, West Reading, Berks County, Pennsylvania, 19611, United States

    STE 135

    WEST READING, PA 196111442

    Phone: (484) 628-8108

    Fax: (484) 628-8400

    Mailing address matches the actual address.

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: 2010-05-03

PECOS data refreshed: 2026-06-15

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
I20100503000327IDiagnostic RadiologyPATBD

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
77063Screening 3d breast mammography1,3831,383$0
77067Screening mammography1,3811,381$0
View full utilization report →

Insurance plans in this area (ZIP 19611)

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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: 7618889213View full group profile
NameSpecialtyState
H O S P I T A L I S TPA
General Surgery, Critical Care (Intensivists)PA
-PA
-PA
N E U R O L O G YPA
Hospitalist, Internal MedicinePA
-PA
General SurgeryMO
Certified Registered Nurse Anesthetist (Crna)PA
Physical Medicine And RehabilitationPA

Reviews

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Frequently asked questions

How do payers reference EDWARD C. FALLON (M.D.)?
For EDWARD C. FALLON (M.D.), use NPI 1245234764 as the unique 10-digit identifier.
Active or inactive — what applies to EDWARD C. FALLON (M.D.)?
You should see EDWARD C. FALLON (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for EDWARD C. FALLON (M.D.)?
At a glance, EDWARD C. FALLON (M.D.) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is EDWARD C. FALLON (M.D.) registered?
Use West Reading, Pennsylvania as the headline location for EDWARD C. FALLON (M.D.) here.
Does EDWARD C. FALLON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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