Active NPI 1275918286 Individual Practitioner Female Practitioner

Kathryn Fallavollita , PA

Physician Assistant • Riverside, RI

Professional Overview & Biography Verified Profile Summary

Kathryn Fallavollita, PA is a registered healthcare professional specializing in Physician Assistant in Riverside, RI. Practice services are available at 375 WAMPANOAG TRL under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

375 Wampanoag Trl

Riverside, RI 029152232

Telephone 4016494070

Fax 4016494071

Associated Practice Facility / Clinic

🏢 Brown Medicine Facility NPI 1689626764

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Riverside, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.1 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Riverside, RI (687 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	94	$296.90	$72.33
99213 Established patient office or other outpatient visit, typically 15 minutes	108	94	$210.00	$63.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$301.00	$64.22
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	23	21	$37.00	$13.87

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	421	264	$330.43	$110.24
99213 Established patient office or other outpatient visit, typically 15 minutes	298	247	$222.21	$78.15
36415 Insertion of needle into vein for collection of blood sample	271	188	$20.00	$8.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	200	163	$25.00	$7.57
80053 Blood test, comprehensive group of blood chemicals	172	149	$40.00	$10.23
84443 Blood test, thyroid stimulating hormone (TSH)	115	108	$50.00	$16.17
80061 Blood test, lipids (cholesterol and triglycerides)	107	104	$40.00	$13.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$391.84	$112.06
82607 Cyanocobalamin (vitamin B-12) level	57	49	$49.00	$14.26
81003 Automated urinalysis test	55	48	$30.00	$2.16
83036 Hemoglobin A1C level	55	51	$29.00	$9.17
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	46	30	$198.00	$32.35
80048 Blood test, basic group of blood chemicals (calcium, total)	39	31	$40.00	$8.29
85652 Red blood cell sedimentation rate, to detect inflammation, automated	37	35	$40.00	$2.65
86140 Measurement C-reactive protein for detection of infection or inflammation	37	34	$20.00	$5.08
83735 Magnesium level	33	24	$20.00	$6.37
83540 Iron level	32	28	$20.00	$6.34
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	32	23	$20.00	$5.48
83550 Iron binding capacity	31	27	$26.00	$8.57
82728 Ferritin (blood protein) level	30	27	$40.00	$13.36
G0008 Administration of influenza virus vaccine	20	20	$65.20	$31.43
83880 Natriuretic peptide (heart and blood vessel protein) level	20	18	$110.00	$38.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	14	$77.00	$12.41
99441 Telephone medical discussion with physician, 5-10 minutes	18	17	$113.94	$48.63
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$68.82	$12.63

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	760	379	$334.00	$112.17
99213 Established patient office or other outpatient visit, typically 15 minutes	514	365	$224.00	$79.31
36415 Insertion of needle into vein for collection of blood sample	488	257	$20.00	$2.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	361	228	$25.00	$7.58
80053 Blood test, comprehensive group of blood chemicals	325	220	$40.00	$10.33
80061 Blood test, lipids (cholesterol and triglycerides)	217	179	$40.00	$13.03
84443 Blood test, thyroid stimulating hormone (TSH)	205	170	$50.00	$16.58
81003 Automated urinalysis test	139	113	$30.00	$2.22
83036 Hemoglobin A1C level	108	82	$29.00	$9.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$393.00	$115.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	86	43	$274.00	$79.53
G0008 Administration of influenza virus vaccine	85	85	$82.00	$30.49
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	74	46	$198.00	$34.33
90662 Influenza vaccine split virus, preservative free	72	72	$183.00	$68.27
85652 Red blood cell sedimentation rate, to detect inflammation, automated	68	54	$40.00	$2.62
82607 Cyanocobalamin (vitamin B-12) level	67	54	$49.00	$14.67
86140 Measurement C-reactive protein for detection of infection or inflammation	66	51	$20.00	$4.95
80048 Blood test, basic group of blood chemicals (calcium, total)	53	30	$40.00	$8.34
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	53	34	$20.00	$5.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	22	$77.00	$12.75
83735 Magnesium level	38	34	$20.00	$6.27
83550 Iron binding capacity	31	24	$26.00	$8.61
82728 Ferritin (blood protein) level	31	24	$40.00	$13.43
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	31	17	$20.00	$4.00
83540 Iron level	31	24	$20.00	$6.37
93000 Routine ekg using at least 12 leads including interpretation and report	30	28	$71.00	$12.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	19	$274.00	$79.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	28	12	$20.00	$1.77
83880 Natriuretic peptide (heart and blood vessel protein) level	27	24	$110.00	$38.81
99496 Transitional care management services for problem of high complexity	24	23	$549.00	$246.24
84439 Thyroxine (thyroid chemical), free	21	17	$30.00	$8.90
82043 Urine microalbumin (protein) level	17	14	$40.00	$5.71
82570 Creatinine level to test for kidney function or muscle injury	17	14	$20.00	$5.12
G0009 Administration of pneumococcal vaccine	16	16	$82.00	$29.05
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$255.00	$78.98
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$80.00	$19.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$250.00	$121.66
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	13	13	$88.00	$29.07

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	583	329	$334.13	$114.91
99213 Established patient office or other outpatient visit, typically 15 minutes	421	303	$224.63	$81.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	238	59	$274.00	$79.87
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	232	109	$274.00	$79.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$393.00	$117.68
G0008 Administration of influenza virus vaccine	63	62	$82.00	$17.85
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	62	45	$198.00	$37.44
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	52	36	$20.00	$5.60
90662 Influenza vaccine split virus, preservative free	49	48	$183.00	$65.00
93000 Routine ekg using at least 12 leads including interpretation and report	39	35	$71.00	$13.19
99442 Telephone medical discussion with physician, 11-20 minutes	36	29	$255.00	$81.64
99496 Transitional care management services for problem of high complexity	32	27	$549.00	$248.52
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	27	13	$20.00	$4.15
99441 Telephone medical discussion with physician, 5-10 minutes	23	16	$156.00	$50.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	15	$77.00	$12.66
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$88.00	$27.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	477	316	$224.58	$67.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	421	257	$334.48	$96.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	272	69	$274.22	$82.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	236	95	$274.89	$82.40
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	95	61	$198.00	$33.88
99442 Telephone medical discussion with physician, 11-20 minutes	94	78	$209.26	$67.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$380.65	$105.19
G0008 Administration of influenza virus vaccine	61	59	$82.00	$17.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	58	41	$20.00	$6.04
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	48	29	$20.00	$4.00
93000 Routine ekg using at least 12 leads including interpretation and report	38	33	$71.00	$15.05
90662 Influenza vaccine split virus, preservative free	32	31	$175.09	$58.89
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	31	23	$360.00	$97.06
99496 Transitional care management services for problem of high complexity	23	21	$549.00	$221.23
94640 Inhalation treatment for airway obstruction or sputum production	22	16	$53.00	$16.25
99441 Telephone medical discussion with physician, 5-10 minutes	22	21	$133.18	$41.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	21	17	$210.43	$62.35
G0009 Administration of pneumococcal vaccine	19	19	$82.00	$17.61
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$85.71	$28.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	11	$207.00	$61.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	13	$77.00	$12.93
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	13	12	$20.00	$0.13
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$256.00	$98.13
69210 Removal of impacted ear wax	11	11	$204.91	$43.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	733	438	$224.00	$65.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	642	326	$334.00	$97.07
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	306	149	$198.00	$35.54
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	224	116	$20.00	$6.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	220	114	$274.00	$81.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	219	79	$274.00	$81.98
94640 Inhalation treatment for airway obstruction or sputum production	133	101	$53.00	$16.53
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	118	57	$20.00	$4.42
G0008 Administration of influenza virus vaccine	111	109	$82.00	$17.42
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	97	84	$20.00	$0.13
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	97	80	$20.00	$0.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	42	$207.00	$61.66
90662 Influenza vaccine split virus, preservative free	77	77	$160.00	$54.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$334.00	$104.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	48	$207.00	$60.62
99496 Transitional care management services for problem of high complexity	55	48	$549.00	$208.42
93000 Routine ekg using at least 12 leads including interpretation and report	49	45	$71.00	$15.07
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	33	22	$348.48	$96.73
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	31	13	$20.00	$0.07
J1940 Injection, furosemide, up to 20 mg	27	14	$6.00	$0.76
G0009 Administration of pneumococcal vaccine	21	21	$82.00	$17.42
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	21	21	$75.00	$24.92
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	18	$45.00	$13.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	11	$77.00	$15.09
90653 Vaccine for influenza for injection into muscle	15	15	$87.00	$53.18
99316 Nursing facility discharge management, more than 30 minutes	14	14	$255.00	$94.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$250.00	$110.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	628	379	$224.00	$64.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	595	323	$334.00	$94.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	312	91	$274.00	$81.06
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	257	130	$198.00	$40.88
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	256	126	$274.00	$81.01
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	162	84	$20.00	$6.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	152	58	$207.00	$61.44
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	147	55	$20.00	$4.40
G0008 Administration of influenza virus vaccine	94	93	$82.00	$21.55
94640 Inhalation treatment for airway obstruction or sputum production	91	68	$53.00	$16.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	71	51	$207.00	$61.36
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	70	54	$20.00	$0.14
36415 Insertion of needle into vein for collection of blood sample	65	54	$20.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	47	$25.00	$9.40
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	53	42	$20.00	$0.22
80053 Blood test, comprehensive group of blood chemicals	50	46	$40.00	$12.78
93000 Routine ekg using at least 12 leads including interpretation and report	47	44	$71.00	$14.87
90662 Influenza vaccine split virus, preservative free	42	42	$142.86	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$334.00	$103.77
90653 Vaccine for influenza for injection into muscle	32	32	$55.00	$53.17
99496 Transitional care management services for problem of high complexity	29	27	$549.00	$206.73
99316 Nursing facility discharge management, more than 30 minutes	28	28	$255.00	$93.70
J1940 Injection, furosemide, up to 20 mg	27	13	$6.00	$0.90
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	23	$45.00	$12.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	21	$77.00	$18.40
G0009 Administration of pneumococcal vaccine	25	25	$82.00	$21.55
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	21	21	$73.57	$22.45
80061 Blood test, lipids (cholesterol and triglycerides)	20	20	$40.00	$16.20
81001 Manual urinalysis test with examination using microscope, automated	20	20	$30.00	$3.84
84443 Blood test, thyroid stimulating hormone (TSH)	17	17	$45.00	$20.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$250.00	$105.59
83880 Natriuretic peptide (heart and blood vessel protein) level	12	11	$110.00	$41.06
90670 Pneumococcal vaccine for injection into muscle	12	12	$330.00	$198.97
99318 Nursing facility annual assessment, typically 30 minutes	11	11	$284.00	$85.77

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	730	386	$334.00	$93.45
99213 Established patient office or other outpatient visit, typically 15 minutes	473	307	$224.00	$63.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	331	174	$207.00	$60.32
36415 Insertion of needle into vein for collection of blood sample	322	217	$20.00	$2.93
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	282	118	$198.00	$50.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	262	86	$207.00	$60.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	256	190	$25.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	255	193	$40.00	$13.35
94640 Inhalation treatment for airway obstruction or sputum production	218	131	$53.00	$16.53
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	206	91	$20.00	$5.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	190	99	$274.00	$79.71
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	172	117	$20.00	$0.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	162	66	$274.00	$79.72
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	141	51	$20.00	$3.92
80061 Blood test, lipids (cholesterol and triglycerides)	131	113	$40.00	$12.70
81001 Manual urinalysis test with examination using microscope, automated	109	88	$30.00	$4.26
84443 Blood test, thyroid stimulating hormone (TSH)	106	94	$45.00	$22.59
G0008 Administration of influenza virus vaccine	61	61	$82.00	$26.22
83036 Hemoglobin A1C level	58	48	$28.00	$13.05
99496 Transitional care management services for problem of high complexity	45	43	$549.00	$203.13
81003 Automated urinalysis test	44	41	$30.00	$3.02
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	43	31	$20.00	$0.22
82570 Creatinine level to test for kidney function or muscle injury	41	36	$20.00	$6.96
82043 Urine microalbumin (protein) level	41	36	$40.00	$7.26
90662 Influenza vaccine split virus, preservative free	38	38	$88.00	$47.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$334.00	$101.79
83880 Natriuretic peptide (heart and blood vessel protein) level	35	31	$102.57	$45.63
99316 Nursing facility discharge management, more than 30 minutes	34	33	$255.00	$92.18
93000 Routine ekg using at least 12 leads including interpretation and report	34	32	$71.00	$15.02
83735 Magnesium level	31	24	$20.00	$9.01
82962 Blood glucose (sugar) test performed by hand-held instrument	26	24	$20.00	$3.15
G0009 Administration of pneumococcal vaccine	26	26	$82.00	$26.66
80048 Blood test, basic group of blood chemicals (calcium, total)	24	19	$40.00	$11.37
82607 Cyanocobalamin (vitamin B-12) level	23	23	$40.00	$20.11
90670 Pneumococcal vaccine for injection into muscle	22	22	$320.91	$186.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	14	$77.00	$22.80
94010 Test to measure expiratory airflow and volume	20	20	$121.00	$32.05
99318 Nursing facility annual assessment, typically 30 minutes	19	19	$284.00	$83.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	16	$135.00	$38.92
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	16	$45.00	$12.59
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	16	15	$20.00	$0.07
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	13	$135.00	$38.92
G0444 Annual depression screening, 5 to 15 minutes	12	12	$57.00	$15.94
85652 Red blood cell sedimentation rate, to detect inflammation, automated	11	11	$40.00	$3.63
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$65.00	$21.43
99497 Advance care planning, first 30 minutes	11	11	$270.00	$66.72

Medical Specialties & State Licenses

CMS Verified: 2023-07-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01569

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CT 3383

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA PA5430

Secondary Practice Locations

535 Faunce Corner Rd

Dartmouth, MA 027471242

Phone: 5089963991

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Chandana Lanka , MD

Internal Medicine

NPI 1023684651

Doctor of Medicine (M.D.)

Dr. Franklin Mccool , MD

Internal Medicine - Pulmonary Disease

NPI 1063497576

Doctor of Medicine (M.D.)

Dr. Roger Auth , MD

Internal Medicine - Pulmonary Disease

NPI 1114456878

Doctor of Medicine (M.D.)

Dr. Peter Karczmar , MD

Internal Medicine - Pulmonary Disease

NPI 1124015813

Doctor of Medicine (M.D.)

Dr. Edward Medeiros , DO

Internal Medicine - Nephrology

NPI 1144616715

Doctor of Osteopathic Medicine (D.O.)

Andrea Lawler

Physician Assistant

NPI 1144897810

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location July 10, 2023

Registered at 375 WAMPANOAG TRL, RIVERSIDE, RI 029152232 (Tel: 4016494070)

📍

Updated Business Mailing Address July 10, 2023

Registered at DEPT 3010, PO BOX 986524, BOSTON, MA 022986524 (Tel: 4014434992)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2023

Physician Assistant (License #3383 in CT)

✅

NPI Profile Active February 02, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2018

Registered at 535 FAUNCE CORNER RD, DARTMOUTH, MA 027471242 (Tel: 5089963991)

📍

Updated Business Mailing Address February 02, 2018

Registered at 535 FAUNCE CORNER RD, DARTMOUTH, MA 027471242

👤

Provider Name / Credentials Updated February 02, 2018

Recorded as KATHRYN FALLAVOLLITA, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2018

Physician Assistant (License #3383 in CT)

✅

NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2016

Registered at 535 FAUNCE CORNER RD, DARTMOUTH, MA 027471242 (Tel: 5089963991)

📍

Updated Business Mailing Address December 02, 2016

Registered at 535 FAUNCE CORNER RD, DARTMOUTH, MA 027471242

👤

Provider Name / Credentials Updated December 02, 2016

Recorded as KATHRYN FALLAVOLLITA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Physician Assistant (License #PA5430 in MA)

🟢

Initial NPI Registration & Enumeration July 21, 2015

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 Kathryn Fallavollita. 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: 1275918286

Entity Type:

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

Enumeration Date: July 21, 2015

Last Update: July 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Dept 3010, Po Box 986524

Boston, MA 022986524

Phone: 4014434992

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.