Brian Fallon, MD - Medicare Thoracic Surgery in Bay Shore, NY

Brian Fallon, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bay Shore, New York. He graduated from medical school in 2001 and has 18 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is 301 E Main St, Bay Shore, New York. You can reach out to his office (for appointments etc.) via phone at (631) 968-3844.

Brian Fallon is licensed to practice in New York (license number 242652) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528220068.

Contact Information

301 E Main St
Bay Shore
NY 11706-8408
(631) 968-3844
Not Available

Map and Direction

Physician's Profile

Full NameBrian Fallon
SpecialityThoracic Surgery
Experience18 Years
LocationBay Shore, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian Fallon graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1528220068
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 06/26/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3375605488
  • Enrollment ID: I20081229000001

Medical Identifiers

Medical identifiers for Brian Fallon such as npi, medicare ID, medicare PIN, medicaid, etc.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 242652 (New York)Primary

Hospital Affiliation

Hospital NameLocationType
Southside HospitalBay shore, NYAcute Care Hospital
Huntington HospitalHuntington, NYAcute Care Hospital
North Shore University HospitalManhasset, NYAcute Care Hospital
Plainview HospitalPlainview, NYAcute Care Hospital
Long Island Jewish Medical CenterNew hyde park, NYAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore-lij Medical Pc33757015682771

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Fallon allows following entities to bill medicare on his behalf.
Entity NameNorthwell Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215019500
PECOS PAC ID: 3971531039
Enrollment ID: O20070215000718
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Fallon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) Yes
Used Electronic Health Record (EHR) Yes
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Fallon, MD
972 Brush Hollow Rd
NY 11590-1740

Ph: (516) 876-5555
Brian Fallon, MD
301 E Main St
Bay Shore
NY 11706-8408

Ph: (631) 968-3844

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Bay Shore, NY

Dr. Terry Palatt, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 15 Park Ave, Bay Shore, NY 11706
Phone: 631-581-4400    Fax: 631-277-3750

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.