Active NPI 1326015983 Individual Practitioner Male Practitioner

Dr. Viriato Manuel Fiallo , MD

Surgery • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Viriato Fiallo, MD is a certified Surgery practicing in Springfield, MA. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Fiallo delivers high-quality medical care to the local community at 2 MEDICAL CENTER DR.

Dr. Fiallo is affiliated with Riverbend Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Medical Center Dr
Suite # 404

Springfield, MA 011071270

Telephone 4137363163

Fax 4137330206

Associated Practice Facility / Clinic

🏢 Pediatric Gastroenterology & Nutrition Of Western Ma Facility NPI 1093792533

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +23.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

53 Specialists

Practicing in Springfield, MA (1077 Statewide)

Telehealth Adoption Rate

18.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fiallo (46 Years) 46 Yrs

Springfield Specialty Average (22.3 Years) 22.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	109	67	$200.92	$91.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	57	$300.00	$128.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$260.00	$109.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	64	$200.00	$92.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	41	$300.00	$130.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$260.00	$114.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	46	$300.00	$133.29
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$200.00	$94.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$260.00	$116.36
99442 Telephone medical discussion with physician, 11-20 minutes	19	19	$200.00	$94.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$150.00	$72.76
99441 Telephone medical discussion with physician, 5-10 minutes	13	12	$73.89	$58.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	43	$198.50	$94.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	35	$150.37	$73.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	41	$296.00	$133.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	19	$82.15	$39.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$253.18	$117.59
99442 Telephone medical discussion with physician, 11-20 minutes	15	14	$171.40	$96.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$369.45	$175.36
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$2251.27	$1152.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	54	$168.00	$78.92
99442 Telephone medical discussion with physician, 11-20 minutes	32	27	$161.00	$78.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$249.00	$114.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$230.00	$113.26
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	18	18	$1991.00	$1190.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$352.00	$173.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	95	$168.00	$77.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	54	$249.00	$112.29
43999 Stomach procedure	30	12	$296.00	$155.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$91.00	$47.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$230.00	$113.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$352.00	$161.10
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$1991.00	$1181.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	108	$178.55	$73.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	75	$261.95	$107.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$382.24	$166.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	23	$155.97	$72.99
43999 Stomach procedure	26	14	$314.23	$152.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	19	$64.00	$21.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$110.71	$44.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$262.84	$109.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$316.26	$137.16
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$2019.64	$1150.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	102	$226.00	$70.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	86	41	$64.00	$19.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	57	$137.00	$42.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	47	$331.00	$104.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$411.00	$131.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	29	$215.00	$69.29
43999 Stomach procedure	34	15	$375.00	$139.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$507.00	$154.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$334.00	$105.41
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	16	16	$2890.00	$932.68
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$971.00	$69.26

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 70766

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3054659 (MA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

J09106

Commercial Insurance / Payer ID Aetna

2033361

Commercial Insurance / Payer ID Ccare

484559

Commercial Insurance / Payer ID Cigna

4848319-004

Commercial Insurance / Payer ID Health New England

12337 (MA)

Commercial Insurance / Payer ID Tufts Health Insurance

715050

Commercial Insurance / Payer ID United Health Care

1704472

Commercial Insurance / Payer ID Havard Pilgrim Health Car

801591

Hospital & Practice Group Affiliations

Riverbend Medical Group Inc

175 Carew St, Springfield, MA 011042389

Phone: 4134526496

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Michael Albert , MD

Surgery

NPI 1346212008

Doctor of Medicine (M.D.)

Dr. Burritt Haag , MD

Surgery

NPI 1457328015

Doctor of Medicine (M.D.)

Dr. Albert Alexander , MD

Surgery

NPI 1518910694

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2008

Registered at 2 MEDICAL CENTER DR, SUITE # 404, SPRINGFIELD, MA 011071270 (Tel: 4137363163)

📍

Updated Business Mailing Address March 14, 2008

Registered at PO BOX 10417, HOLYOKE, MA 010412017 (Tel: 4135400150)

👤

Provider Name / Credentials Updated March 14, 2008

Recorded as VIRIATO FIALLO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2008

Surgery (License #70766 in MA)

🟢

Initial NPI Registration & Enumeration March 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326015983

Entity Type:

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

Enumeration Date: March 02, 2006

Last Update: March 14, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 10417

Holyoke, MA 010412017

Phone: 4135400150

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.