Active NPI
Mark David Fallon-Cyr, MD
- Child & Adolescent Psychiatry Physician
- Durango, CO
National Provider Identifier
1174550909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 31873
- Practice address
- 281 Sawyer Dr
Suite 100
Durango, CO 81303-3409 - Phone
- (970) 259-2162
- Fax
- (970) 247-0455
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31873 | CO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 31873 | CO | Primary |
Addresses
Primary practice location
281 Sawyer Dr
Suite 100
Durango, CO 81303-3409
Mailing address
PO Box 1328
Durango, CO 81302-1328
Phone (970) 259-2162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Psychiatry
- Education
- University of Arizona College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southern Ute Indian Tribe
Practice addresses (Care Compare)
PO Box
Ignacio, CO 81137
US Hwy 160 and Navajo Route 35-Red Mesa
Teecnospos, AZ 86514
Phone (928) 656-5165
Hospital & facility affiliations
- Northern Navajo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31873 | CO | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Alpine Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Counseling Psychologist
- Durango, CO
- NPI 1821137662
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanostee, NM
- NPI 1083839476
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- General Acute Care Hospital
- Bloomfield, NM
- NPI 1760427587
-
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
-
- General Acute Care Hospital
- Toadlena, NM
- NPI 1952526337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1174550909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "DURANGO",
"state": "CO",
"postal_code": "813021328",
"telephone_number": "970-259-2162",
"fax_number": "970-247-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 SAWYER DR",
"address_2": "SUITE 100",
"city": "DURANGO",
"state": "CO",
"postal_code": "813033409",
"telephone_number": "970-259-2162",
"fax_number": "970-247-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON-CYR",
"first_name": "MARK",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "31873",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "31873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.