DR. GARY S FIALK (M.D.) – Urology Physician, NPI 1376518670
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. GARY S FIALK (M.D.)
10301, Democracy Lane, Lord Fairfax Estates, Fairfax, Fairfax (city), Virginia, 22030, United States
SUITE 410
FAIRFAX, VA 220302545
Phone: (703) 876-5942
Fax: (703) 876-5972
Type: Mailing
Parkway Medical Tower, 1860, Town Center Drive, Reston, Fairfax County, Virginia, 20190, United States
SUITE 180
RESTON, VA 201905896
Phone: (703) 689-3311
Fax: (703) 435-0137
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Blue Earth Diagnostics Limited ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Blue Earth Diagnostics Limited | $24 |
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: 2019-03-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190328002216 | I | Urology | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22030)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | VA | 76872 | Ultrasound of rectum | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | VA | |
| Certified Nurse Midwife (Cnm) | VA | |
| - | MD | |
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| Family Practice | MD | |
| Nurse Practitioner | VA | |
| - | MD |
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