Active NPI 1093926495 Individual Practitioner Male Practitioner

Dr. Humberto C. Fallas , OD

Optometrist • Mcdonough, GA

Professional Overview & Biography Verified Profile Summary

Dr. Humberto Fallas, OD is a certified Optometrist practicing in Mcdonough, GA. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Fallas delivers high-quality medical care to the local community at 69 GRIFFIN ST.

Dr. Fallas does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

69 Griffin St

Mcdonough, GA 302533138

Telephone 7709549898

Fax 7709549147

Associated Practice Facility / Clinic

🏢 Humberto Fallas P.c. Facility NPI 1346436961

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mcdonough, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +13.2 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

15 Specialists

Practicing in Mcdonough, GA (1498 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fallas (25 Years) 25 Yrs

Mcdonough Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,555	17	$2.81	$1.12
99213 Established patient office or other outpatient visit, typically 15 minutes	220	141	$152.00	$84.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	158	$221.00	$120.05
92133 Imaging of optic nerve	89	86	$75.00	$32.53
92083 Exam of visual field with extended testing	66	64	$90.00	$58.19
76514 Ultrasound scan of cornea to determine thickness	38	38	$35.00	$10.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$334.00	$156.82
92250 Photography of the retina	21	21	$95.00	$34.53
92134 Imaging of retina	19	19	$75.00	$37.35
G2211 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's	11	11	$35.00	$15.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$218.00	$104.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,244	16	$3.03	$1.21
99213 Established patient office or other outpatient visit, typically 15 minutes	243	141	$152.00	$85.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	149	$221.00	$119.55
92133 Imaging of optic nerve	89	79	$75.00	$33.12
76514 Ultrasound scan of cornea to determine thickness	86	86	$35.00	$10.22
92083 Exam of visual field with extended testing	66	64	$90.00	$59.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$334.00	$156.66
92134 Imaging of retina	32	30	$75.00	$37.92
92250 Photography of the retina	25	24	$92.76	$35.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,941	23	$3.15	$1.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	175	$221.00	$121.66
99213 Established patient office or other outpatient visit, typically 15 minutes	196	116	$152.00	$86.16
92133 Imaging of optic nerve	94	82	$75.00	$34.17
92083 Exam of visual field with extended testing	53	52	$90.00	$59.67
92134 Imaging of retina	32	27	$75.00	$38.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$334.00	$159.10
92250 Photography of the retina	23	22	$95.00	$35.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	84	$152.00	$86.87
92012 Established patient problem focused exam of visual system	120	76	$150.00	$86.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	68	$221.00	$124.08
92133 Imaging of optic nerve	77	67	$75.00	$35.07
92014 Established patient complete exam of visual system	72	71	$190.00	$121.68
92134 Imaging of retina	42	39	$75.00	$39.27
92250 Photography of the retina	31	26	$95.00	$37.68
92004 New patient complete exam of visual system	26	26	$200.00	$144.53
92083 Exam of visual field with extended testing	24	24	$90.00	$60.84
66984 Removal of cataract with insertion of lens	24	16	$250.00	$103.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$334.00	$160.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	239	117	$149.21	$84.84
92014 Established patient complete exam of visual system	99	97	$187.58	$121.28
92133 Imaging of optic nerve	72	58	$75.00	$34.19
66984 Removal of cataract with insertion of lens	29	16	$250.00	$104.59
92134 Imaging of retina	29	25	$75.00	$39.15
92004 New patient complete exam of visual system	28	28	$194.64	$144.25
92083 Exam of visual field with extended testing	24	23	$90.00	$60.03
92250 Photography of the retina	20	20	$95.00	$43.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	277	130	$119.26	$83.34
92014 Established patient complete exam of visual system	135	117	$159.07	$120.54
66984 Removal of cataract with insertion of lens	117	16	$79.06	$28.75
92133 Imaging of optic nerve	72	63	$74.72	$34.21
92134 Imaging of retina	37	32	$74.32	$39.03
92004 New patient complete exam of visual system	33	33	$170.00	$144.20
92083 Exam of visual field with extended testing	32	31	$89.84	$59.27
92250 Photography of the retina	16	15	$95.00	$45.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	190	112	$99.79	$78.36
92014 Established patient complete exam of visual system	187	143	$134.84	$112.06
66984 Removal of cataract with insertion of lens	117	16	$98.29	$27.10
92133 Imaging of optic nerve	62	57	$70.00	$32.71
92004 New patient complete exam of visual system	53	53	$145.19	$135.98
92134 Imaging of retina	32	27	$70.00	$37.35
92083 Exam of visual field with extended testing	28	25	$85.00	$55.83
92250 Photography of the retina	15	15	$90.00	$51.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	166	120	$130.00	$110.16
92012 Established patient problem focused exam of visual system	120	71	$95.00	$75.84
92133 Imaging of optic nerve	68	59	$70.88	$32.50
92004 New patient complete exam of visual system	48	48	$140.00	$129.80
92083 Exam of visual field with extended testing	37	33	$86.35	$57.27
66984 Removal of cataract with insertion of lens	32	16	$257.81	$112.20
92250 Photography of the retina	17	16	$90.00	$58.31

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT001975

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WA OD00003708

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location April 04, 2019

Registered at 69 GRIFFIN ST, MCDONOUGH, GA 302533138 (Tel: 7709549898)

📍

Updated Business Mailing Address April 04, 2019

Registered at 69 GRIFFIN ST, MCDONOUGH, GA 302533138 (Tel: 7709549898)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2019

Optometrist (License #OPT001975 in GA)

✅

NPI Profile Active March 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2012

Registered at 1415 HIGHWAY 20 W, MCDONOUGH, GA 302537306 (Tel: 7709549898)

📍

Updated Business Mailing Address March 02, 2012

Registered at 1415 HIGHWAY 20 W, MCDONOUGH, GA 302537306 (Tel: 7709549898)

👤

Provider Name / Credentials Updated March 02, 2012

Recorded as HUMBERTO FALLAS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2012

Optometrist (License #OPT001975 in GA)

🟢

Initial NPI Registration & Enumeration May 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Humberto Fallas. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093926495

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 25, 2007

Last Update: April 04, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

69 Griffin St

Mcdonough, GA 302533138

Phone: 7709549898

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.