Brian Fallon, MD
NPI 1528220068 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Bay Shore, NY
Enrolled with Medicare as Practitioner - Thoracic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Fallon, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider in Bay Shore, NY (NPI 1528220068).
Provider details
- NPI number
- 1528220068
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 242652 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
462 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 169 | $147 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 98 | $193 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 47 | $149 |
| Irrigation and Suction of Lung Airways to Obtain Cells Using an Endoscope31624 | 42 | $127 |
| Biopsy of Lung Airway Using an Endoscope31625 | 14 | $66 |
| Insertion of Indwelling Tube for Drainage of Lung Fluid32550 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$305 across 4 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
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2008-06-26
Frequently asked questions
- What is Brian Fallon's NPI number?
- Brian Fallon's National Provider Identifier (NPI) is 1528220068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Fallon's specialty?
- Brian Fallon is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Brian Fallon located?
- Brian Fallon's practice location on file with NPPES is 301 E Main St, Bay Shore, NY 11706-8408.
- What is Brian Fallon's phone number?
- The practice phone number listed in the NPPES registry for Brian Fallon is (631) 968-3844.
- Does Brian Fallon accept Medicare?
- Brian Fallon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Fallon's NPI active?
- Yes — Brian Fallon's NPI (1528220068) is active in the NPPES registry as of the last update on 2008-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.