Dr. Marc Fallah, MD
100 Spalding DR, Ste 208, Naperville, IL 60540 • +1-929-555-2871
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Naperville Percentiles
NPI #1750356804 • CBSA Regional • Gastroenterology
Operating out of Naperville, IL (100 Spalding DR, Ste 208), Gastroenterology clinician Dr. Marc Fallah, MD (accredited MD/DO training, 2005) maintains a upper-quartile active clinical volume (87.5th Naperville percentile) (68.73th IL percentile; Z-score -0.15σ across 1,697 documented services) with sub-specialty concentration in 62 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 100 Spalding DR, Ste 208 shows Dr. Marc Fallah's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 628x/yr, 87.5th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 424x/yr, $288–$395).
Uninsured and high-deductible cash patients visiting Dr. Marc Fallah in Naperville (60540) face an estimated $218.00 initial evaluation fee at 100 Spalding DR, Ste 208 (hybrid in-clinic and telehealth video consults; 9-minute average reception wait; bedside manner 4.84/5 from 25 verified reports).
Patients evaluating Dr. Marc Fallah in ZIP 60540 note 21 years of post-doctoral tenure (null, 2005) alongside 2.9 annual CMS procedures per patient.
Compared against Naperville, IL Gastroenterology peers
1,697 annual services across 592 beneficiaries
Standard deviations from IL Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 628 | 87.5th | $120 – $164 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 424 | 91.5th | $288 – $395 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 356 | 91.5th | $239 – $328 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 170 | 90.5th | $321 – $440 |
| 99204 | New Patient Digestive & Hepatology Consultation | 119 | 87.5th | $169 – $231 |
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Dr. Marc Fallah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fallah National Provider Identifier | NPI #1750356804 (MD) | CMS NPPES Registry (60540) |
| Dr. Fallah Naperville CMS Volume Rank | 87.50th Pct (1,697 CMS svcs; Z -0.150σ) | CMS Medicare Part B (IL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Naperville, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 9 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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