Active NPI
Christopher Mark Fallows, D.O.
- Anesthesiology Physician
- Lecanto, FL
National Provider Identifier
1093745705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS5879
- Practice address
- 3075 W Gulf to Lake Hwy
Lecanto, FL 34461-9228 - Phone
- (352) 527-0102
- Fax
- (352) 527-8863
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS 5879 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | OS5879 | FL | |
| Anesthesiology Physician | 207L00000X | OS5879 | FL | Primary |
Addresses
Primary practice location
3075 W Gulf to Lake Hwy
Lecanto, FL 34461-9228
Mailing address
70 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-4444
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80355X | Other | FL | MEDICARE - NATURECOAST PAIN ASSOCIATES |
| 211834 | Other | FL | AVMED VENDOR ID |
| 063914100 | Medicaid | FL | |
| 80355 | Other | FL | BCBS PROV ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
70 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-4444
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 5879 | FL | MD | Pain Medicine (Anesthesiology) Physician |
| OS5879 | FL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Anesthesia, LLC | Current | Accepting new patients | |
| Naturecoast Pain Associates Inc | Anesthesiology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Florida DRX, LLC | Interventional Pain Medicine | Past | Accepting new patients |
| Naturecoast Pain Associates Inc | Anesthesiology | Past | Accepting new patients |
Locations
3075 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 527-0102
70 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-4444
400 10th St E
Waconia, MN 55387
Networks
- Freedom Health HMO Network
Interoperability endpoints
- cfallows296875@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Lecanto, FL
- NPI 1982953089
-
- Certified Registered Nurse Anesthetist
- Oxford, FL
- NPI 1962046151
-
- Anesthesiology Physician
- Lecanto, FL
- NPI 1679389191
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Interventional Pain Medicine Physician
- Lecanto, FL
- NPI 1912938648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1093745705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 N LECANTO HWY",
"city": "LECANTO",
"state": "FL",
"postal_code": "344619190",
"telephone_number": "352-527-4444",
"fax_number": "352-746-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 W GULF TO LAKE HWY",
"city": "LECANTO",
"state": "FL",
"postal_code": "344619228",
"telephone_number": "352-527-0102",
"fax_number": "352-527-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLOWS",
"first_name": "CHRISTOPHER",
"middle_name": "MARK",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "OS 5879",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "OS5879",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS5879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - NATURECOAST PAIN ASSOCIATES",
"identifier": "80355X",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED VENDOR ID",
"identifier": "211834",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063914100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV ID",
"identifier": "80355",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.