DR. ANDRE FALLOT (MD) – Pediatric Critical Care Medicine Physician, NPI 1730158213
Pediatric Critical Care Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANDRE FALLOT (MD)
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone:
Type: Mailing
6161 S YALE AVE
TULSA, OK 741361902
Phone: (918) 502-6135
Fax: (918) 502-6137
Type: Location
JACKSON AVE BLDG 9040
MADIGAN ARMY MEDICAL CENTER DEPT OF PEDIATRICS
TACOMA, WA 984310001
Phone: (253) 968-1874
Type: Location
1767, Jensen Avenue, DuPont, Pierce County, Washington, 98327, United States
DUPONT, WA 983278707
Phone: (253) 507-4190
Type: Mailing
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 $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Baxter Healthcare ($116).
Total Amount
$116
General + Research + Ownership
Payments
1
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $116 |
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: 2022-12-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111227000808 | I | Pediatric Medicine | WA | TBD |
| I20221228000994 | I | Critical Care (Intensivists) | OK | 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 74136)
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Reviews
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