NPPES file of Aug 9, 2026

Enzo Fallone, M.D.

Anatomic Pathology & Clinical Pathology Physician · Rochester, NY

Enzo Fallone, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Rochester, New York, and NPI 1568583813, issued on Apr 3, 2007. Check the license (New York 238815-1, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568583813
Name
Enzo Fallone
Credential
M.D.
Primary taxonomy
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License numbers
238815-1 NY
238815 NY
Self-reported in NPPES; status is on the state search
Practice location
1425 Portland Avenue, Rochester, NY 14621
Phone
(585) 922-4121
Enumerated
Apr 3, 2007
Record last updated
Sep 22, 2022
Medicaid ID
02911475 NY
Medicare enrollment
Enrolled (PECOS I20070920000584); accepts Medicare assignment
Medical or professional school
State University Of Ny Upstate Medical University, 2001
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1425 Portland Avenue

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Akash Agarwal, M.D.Hospitalist Physician1376830711
  2. Obianuju Akujuobi, M.D.Student in an Organized Health Care Education/Training Program1336839661
  3. Asham Al Salkhadi, M.D.Student in an Organized Health Care Education/Training Program1396679437
  4. Dua AzimStudent in an Organized Health Care Education/Training Program1801631882
  5. Helen BerheStudent in an Organized Health Care Education/Training Program1285558288
  6. Nishit Biniwale, MDStudent in an Organized Health Care Education/Training Program1801317532

Verify Enzo Fallone in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 238815-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The MIPS final score for 2023 (Medicare payment program): 95.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.3
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%99.2
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $611.73

3 payments; by number, the most common kind was travel and lodging; the largest payer was Leica Microsystems Inc. The 2,607 providers of this specialty with any payment received $3,565.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Enzo Fallone$611.73
  2. Specialty average$3,565.00

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

4 hospitals and group practices

  1. Canton-Potsdam HospitalPotsdam, NY · Acute Care Hospitals2 of 5 stars
  2. Rochester General HospitalNewark, NY · Acute Care Hospitals2 of 5 stars
  3. Massena Hospital IncMassena, NY
  4. The Unity Hospital OF RochesterRochester, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Enzo Fallone among 972 anatomic pathology & clinical pathology physician records in New York

Enzo Fallone, M.D. is one of 972 anatomic pathology & clinical pathology physician records with a practice address in New York. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 42% of them.

  • NPI issued2007 · 42% of these records are older, 48% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2001 · median 2000 among the 603 with a school on file
  • Record last updated2022 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anatomic Pathology & Clinical Pathology Physician providers in New York

There are 972 anatomic pathology & clinical pathology physician records in New York.

The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes

  1. Wilrama Barbosa Magalhaes Lima, MDRochester, NY 146211003435983
  2. Narendra Bhattarai, MDRochester, NY 146211326609231
  3. Paul GosinkRochester, NY 146211972901882
  4. Joseph Hatem, MDRochester, NY 146211982996914
  5. Scott Lapoint, M.D.Rochester, NY 146211720051907
  6. Theodor Mayer, MD PHDRochester, NY 146211982791695
  7. Yaseen MohiuddinRochester, NY 146211043477144
  8. Amber Petrolla, M.D.Rochester, NY 146211033319355

Common questions

What is Enzo Fallone, M.D.'s NPI number?

Enzo Fallone, M.D.'s National Provider Identifier (NPI) is 1568583813, issued on Apr 3, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Enzo Fallone, M.D. located?

The NPPES record lists a practice address at 1425 Portland Avenue, Rochester, NY, 14621. Phone: (585) 922-4121. Providers update this record themselves, so call before visiting.

How can I verify Enzo Fallone, M.D.'s license?

NPPES lists New York license number 238815-1, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Enzo Fallone, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.