Zianka Fallil, MD
NPI 1376861948 · Neurology Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Zianka Fallil, MD is a Neurology Physician provider in Rochester, NY (NPI 1376861948).
Provider details
- NPI number
- 1376861948
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME137765 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
449 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 188 | $74 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 153 | $169 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 60 | $128 |
| Measurement of Brain Wave Activity (eeg), Awake and Drowsy95816 | 37 | $55 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 11 | $49 |
Typical Medicare-allowed amounts for these services range $49–$169 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$247 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2655 Ridgeway Ave Ste 420Rochester, NY 14626-4296Phone: (585) 723-7972Fax: (585) 368-3119
Registry dates
- Enumerated
- 2010-05-06
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Frequently asked questions
- What is Zianka Fallil's NPI number?
- Zianka Fallil's National Provider Identifier (NPI) is 1376861948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Zianka Fallil's specialty?
- Zianka Fallil is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Zianka Fallil located?
- Zianka Fallil's practice location on file with NPPES is 1425 Portland Ave Lbby Level, Rochester, NY 14621-3011.
- What is Zianka Fallil's phone number?
- The practice phone number listed in the NPPES registry for Zianka Fallil is (585) 922-4111.
- Does Zianka Fallil accept Medicare?
- Zianka Fallil is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Zianka Fallil's NPI active?
- Yes — Zianka Fallil's NPI (1376861948) is active in the NPPES registry as of the last update on 2025-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.