What is Brian Fallon's specialty?

Brian Fallon (NPI 1528220068) is a Medicare-billing provider whose primary specialty is Thoracic Surgery in Bay Shore, NY.

Where does Brian Fallon practice?

Brian Fallon practices in Bay Shore, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1528220068.

How much does Medicare pay Brian Fallon?

Brian Fallon (NPI 1528220068) received approximately $107K in total Medicare Part B payments, serving 240 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1528220068

Brian FallonMD

PRACTICESOUTHSIDE HOSPITALSee all providers at this practice →

Thoracic SurgeryBay Shore, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

388

Unique beneficiaries

—

Total services

462

Distinct HCPCS

Medicare payment

$72K

Peer benchmark

Total Medicare services vs. 196 Thoracic Surgery providers in NY — top quintile (cohort median 224).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

93.1

Quality

79.8

Cost

0.0

Improvement activities

40.0

Promoting interop.

88.8

Payment adjustment

0.76%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$305

Payment records

By payment type

Food and Beverage$305

Top paying entities

Food and Beverage$305

REFERRAL NETWORK

Where Brian Fallon's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOUTH SHORE UNIVERSITY HOSPITAL	83	442
Martha Hill Certified Registered Nurse Anesthetist (CRNA) · Patchogue, NY	32	75
NORTH SHORE UNIVERSITY HOSPITAL	31	88
Steven Wengrover Diagnostic Radiology · Bedford Hills, NY	31	82
Laurie Horowitz Pathology · Jamaica, NY	23	59
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	23	70
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Melville, NY	22	110
Northwell Health Laboratories Clinical Laboratory · New Hyde Park, NY	22	105
ST. FRANCIS HOSPITAL	20	81
Joshua Kern Diagnostic Radiology · Islip, NY	19	43
Joseph Saraceno Pulmonary Disease · Bay Shore, NY	16	58
Dheeraj Khanna Pulmonary Disease · Bay Shore, NY	16	52

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history