Kyle Fallgatter, MD
NPI 1588160188 · Ophthalmology Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Fallgatter, MD is a Ophthalmology Physician provider in Jacksonville, FL (NPI 1588160188).
Provider details
- NPI number
- 1588160188
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 101374 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
448 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) |
|---|---|---|
| Photography of the Retina92250 | 140 | $35 |
| Injection of Drug Into Eye67028 | 80 | $115 |
| New Patient Complete Exam of Visual System92004 | 66 | $139 |
| Imaging of Retina92134 | 60 | $38 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 59 | $87 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 43 | $162 |
Typical Medicare-allowed amounts for these services range $35–$162 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 36 | 29 |
| Moxifloxacin Hclbrand: Moxifloxacin | 21 | 20 |
| Atropine Sulfate | 20 | 20 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$299 across 5 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 (5)
- 2416 Lynndale Rd Ste 201Fernandina Beach, FL 32034-5230Phone: (904) 997-9202Fax: (904) 997-9205
- 8786 Perimeter Park BlvdJacksonville, FL 32216-6347Phone: (904) 997-9202Fax: (904) 997-9205
- 50 Leanni Way Unit E5Palm Coast, FL 32137-4757Phone: (386) 447-1847Fax: (386) 447-1848
- 3120 Glynn AveBrunswick, GA 31520-4848Phone: (912) 262-9092Fax: (912) 466-0639
- 304 Riverside DrWaycross, GA 31501-4549Phone: (912) 283-1400Fax: (912) 283-0019
Registry dates
- Enumerated
- 2018-04-03
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Kyle Fallgatter's NPI number?
- Kyle Fallgatter's National Provider Identifier (NPI) is 1588160188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Fallgatter's specialty?
- Kyle Fallgatter is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Kyle Fallgatter located?
- Kyle Fallgatter's practice location on file with NPPES is 2639 Oak St, Jacksonville, FL 32204-4505.
- What is Kyle Fallgatter's phone number?
- The practice phone number listed in the NPPES registry for Kyle Fallgatter is (904) 387-5600.
- Does Kyle Fallgatter accept Medicare?
- Kyle Fallgatter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Fallgatter's NPI active?
- Yes — Kyle Fallgatter's NPI (1588160188) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.