Active NPI 1548627391 Individual Practitioner Female Practitioner

Diandra Lynn Fallone , PA-C

Physician Assistant • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Diandra Fallone, PA-C is a certified Physician Assistant practicing in Warwick, RI. With approximately 11 years of clinical experience since completing medical education in 2015, Diandra Fallone delivers high-quality medical care to the local community at 455 TOLL GATE RD.

Diandra Fallone is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

455 Toll Gate Rd

Warwick, RI 028862759

Telephone 4017377010

Fax 4017380013

Associated Practice Facility / Clinic

🏢 Kent County Memorial Hospital Facility NPI 1386643294

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warwick, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +1.9 yrs vs City Avg

City Avg: 9.1 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

84 Specialists

Practicing in Warwick, RI (687 Statewide)

Telehealth Adoption Rate

13.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fallone (11 Years) 11 Yrs

Warwick Specialty Average (9.1 Years) 9.1 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
99285 Emergency department visit for life threatening or functioning severity	107	106	$1252.00	$145.16
99284 Emergency department visit with moderate level of medical decision making	90	89	$836.00	$99.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	21	$686.00	$99.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$1330.00	$145.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	89	89	$837.00	$102.86
99285 Emergency department visit for life threatening or functioning severity	81	80	$1250.98	$149.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$1330.00	$148.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	76	75	$559.84	$62.35
99285 Emergency department visit for life threatening or functioning severity	75	73	$1243.15	$153.18
99284 Emergency department visit with moderate level of medical decision making	69	69	$837.71	$105.45
99224 Subsequent observation care, typically 15 minutes per day	16	12	$379.00	$33.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	77	76	$1252.00	$157.94
99284 Emergency department visit with moderate level of medical decision making	61	61	$837.54	$108.28
99283 Emergency department visit with low level of medical decision making	46	46	$562.00	$63.74
27447 Replacement of knee joint, both sides of knee	13	13	$950.00	$186.47
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$385.00	$81.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$385.00	$100.51

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	49	47	$385.00	$96.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$385.00	$96.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$385.00	$147.56
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	15	$33.80	$16.31
81002 Urinalysis, manual test	13	13	$7.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	66	64	$1357.73	$151.84
99284 Emergency department visit with moderate level of medical decision making	25	24	$919.21	$103.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	18	$85.94	$7.47
99283 Emergency department visit with low level of medical decision making	18	18	$520.59	$54.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$385.00	$144.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$385.00	$95.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	91	88	$1430.30	$151.55
99284 Emergency department visit with moderate level of medical decision making	49	47	$967.90	$102.95
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	38	37	$85.94	$7.45
99283 Emergency department visit with low level of medical decision making	37	37	$570.49	$54.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	131	129	$1349.06	$149.88
99284 Emergency department visit with moderate level of medical decision making	121	120	$907.57	$101.63
99283 Emergency department visit with low level of medical decision making	76	75	$499.00	$53.59
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$85.94	$7.39

Medical Specialties & State Licenses

CMS Verified: 2025-05-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA00860

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.

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Tollgate Rd, Warwick, RI 028862759

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

101 Dudley St

Providence, RI 029052401

Phone: 4012741122

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jennifer Jennings , NP

Nurse Practitioner - Adult Health

NPI 1003213257

Nurse Practitioner

Dr. Christopher Baze , DO

Emergency Medicine

NPI 1003550401

Doctor of Osteopathic Medicine (D.O.)

Dr. Kelly Sanchez , MD

Family Medicine

NPI 1003610312

Doctor of Medicine (M.D.)

Dr. Richard Pedro , DO

Anesthesiology

NPI 1013237924

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Wright , DO

Student in an Organized Health Care Education/Training Program

NPI 1013766906

Doctor of Osteopathic Medicine (D.O.)

Tiffani Najadifar

Internal Medicine

NPI 1013858778

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location May 27, 2025

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4017377010)

👤

Provider Name / Credentials Updated May 27, 2025

Recorded as DIANDRA FALLONE, PA-C

📍

Updated Business Mailing Address April 21, 2025

Registered at 455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 028862759 (Tel: 4012730641)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2019

Physician Assistant (License #PA00860 in RI)

✅

NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2016

Registered at 25 WELLS ST, WESTERLY, RI 028912922 (Tel: 4013483325)

📍

Updated Business Mailing Address November 10, 2016

Registered at 25 WELLS ST, WESTERLY, RI 028912922

👤

Provider Name / Credentials Updated November 10, 2016

Recorded as DIANDRA BANNA, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Physician Assistant (License #PA00860 in RI)

🟢

Initial NPI Registration & Enumeration January 25, 2016

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 Diandra Fallone. 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: 1548627391

Entity Type:

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

Enumeration Date: January 25, 2016

Last Update: May 27, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Toll Gate Rd, Prc And Credentialing

Warwick, RI 028862759

Phone: 4012730641

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.