Margarita Fallena, MD
NPI 1760686737 · Rheumatology Physician · Dallas, TX
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Margarita Fallena, MD is a Rheumatology Physician provider in Dallas, TX (NPI 1760686737).
Provider details
- NPI number
- 1760686737
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M9271 (TX)
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
19 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
716 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 | 292 | $126 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 251 | $16 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 92 | $14 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 44 | $165 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 37 | $172 |
Typical Medicare-allowed amounts for these services range $14–$172 (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 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 268 | 66 |
| Prednisone | 221 | 55 |
| Methotrexate Sodiumbrand: Methotrexate | 174 | 47 |
| Duloxetine Hcl | 144 | 35 |
| Alendronate Sodium | 73 | 29 |
| Leflunomide | 71 | 18 |
| Folic Acid | 55 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,044 across 109 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)
- 2101 Westpark Ct Ste 110Euless, TX 76040-3719Phone: (972) 513-1410Fax: (469) 565-9885
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Margarita Fallena's NPI number?
- Margarita Fallena's National Provider Identifier (NPI) is 1760686737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Margarita Fallena's specialty?
- Margarita Fallena is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Margarita Fallena located?
- Margarita Fallena's practice location on file with NPPES is 12740 Hillcrest Rd Ste 265, Dallas, TX 75230-2086.
- What is Margarita Fallena's phone number?
- The practice phone number listed in the NPPES registry for Margarita Fallena is (972) 513-1410.
- Does Margarita Fallena accept Medicare?
- Margarita Fallena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Margarita Fallena's NPI active?
- Yes — Margarita Fallena's NPI (1760686737) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.