Nicole C. Fallacaro, PA
NPI 1174582290ActiveIndividual· Physician Assistant· Gilbert, AZ
Opted out of Medicare from January 2022 to January 2028. Physician Assistant (PA) in Gilbert, Arizona, licensed in AZ and NY, with an NPI issued in March 2006. Part D covered 95 prescriptions written in 2024, 77% of them generic. Novo Nordisk Inc was the largest of 5 companies reporting payments in 2025, $112.35 in all, mostly food and beverage.
Overview
| NPI | 1174582290 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Mar 18, 2006 |
| Last updated in NPPES | Dec 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4453 | AZ |
| Physician Assistant | 363A00000X | 010718 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2022 – Jan 1, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 95 · 189 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $12,846 |
| Generic share | 77% of claims |
Industry payments (Open Payments)
- 2025$112.35 · 6 payments from 5 companies
- 2024$43.47 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $37.73 | 2 |
| Abbott Laboratories | $20.47 | 1 |
| Shield Therapeutics Inc | $19.76 | 1 |
| Lilly USA, LLC | $19.06 | 1 |
| Acella Pharmaceuticals, LLC | $15.33 | 1 |
What the 2025 payments were for
- Food and Beverage$112.35 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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