Doctor profile · Federal record
Dr. Robert Fafalak, MD
Rheumatology Physician (CMS: Rheumatology) · New York, NY
- NPI 1982683041
- Accepts Medicare
- MIPS 83.3 / 100 · 2023
- 39 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4 Lexington Ave, 1S
New York, NY 100105416
(212) 533-2760
fax (212) 387-9143 - Mailing address
-
36 West 9Th St, First Floor
New York, NY 10011
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- March 1, 2012
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207RR0500X — NUCC code
- State license (1)
- New York #175702
- Medicaid
- NY #01194027
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1982683041. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
7,695
Distinct HCPCS
10
Medicare allowed
$537,724
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,746 | 164 | $71 | |
J0897 |
Injection, denosumab, 1 mg | 1,140 | 13 | $23 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 1,035 | 338 | $147 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 989 | 293 | $104 | |
J1030 |
Injection, methylprednisolone acetate, 40 mg | 566 | 93 | $8 | |
36415 |
Insertion of needle into vein for collection of blood sample | 495 | 290 | $8 | |
81002 |
Urinalysis, manual test | 473 | 287 | $3 | |
96372 |
Injection of drug or substance under skin or into muscle | 183 | 41 | $16 | |
64421 |
Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block | 178 | 35 | $38 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 175 | 175 | $148 |
In context: peer comparison
Among 52 peers in New York Rheumatology Physician, average services per provider: 266. This provider delivers 29× the peer median.Open Payments
Industry payments received
All-time total
$3,523
Transactions
152
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 35 | $792.82 | |
| ViiV Healthcare Company | 15 | $370.75 | |
| AstraZeneca Pharmaceuticals Lp | 16 | $362.82 | |
| Pfizer INC. | 18 | $350.86 | |
| Amgen INC. | 14 | $329.72 | |
| GlaxoSmithKline, LLC. | 14 | $294.89 | |
| Takeda Pharmaceuticals U.S.A., INC. | 7 | $139.30 | |
| Gilead Sciences, INC. | 6 | $137.02 | |
| E.R. Squibb & Sons, L.L.C. | 6 | $129.79 | |
| Kiniksa Pharmaceuticals International, Plc | 4 | $95.61 | |
| Emd Serono, INC. | 4 | $91.83 | |
| Collegium Pharmaceutical, INC. | 4 | $83.70 | |
| Novartis Pharmaceuticals Corporation | 4 | $80.42 | |
| Ironwood Pharmaceuticals, INC | 3 | $73.65 | |
| Lilly USA, LLC | 2 | $43.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,734
Patients
621
Total drug cost
$44,249
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 414 | 92 | $4,815 |
| Amlodipine Besylate | Generic | 270 | 55 | $1,717 |
| Rosuvastatin Calcium | Generic | 236 | 60 | $3,552 |
| Levothyroxine Sodium | Generic | 233 | 55 | $4,089 |
| Pantoprazole Sodium | Generic | 187 | 47 | $2,187 |
| Prednisone | Generic | 173 | 46 | $2,002 |
| Metoprolol Succinate | Generic | 172 | 39 | $3,926 |
| Zolpidem Tartrate | Generic | 163 | 30 | $1,811 |
| Valsartan | Generic | 147 | 24 | $2,746 |
| Duloxetine Hcl | Generic | 140 | 28 | $3,708 |
Hospital affiliations
Frequently asked questions
What is Dr. Robert Fafalak's medical specialty?
Dr. Robert Fafalak practices Rheumatology Physician in New York, NY.
Where does Dr. Robert Fafalak practice?
Dr. Robert Fafalak practices at 4 Lexington Ave, New York, NY 100105416. Office phone: 2125332760.
What is Dr. Robert Fafalak's NPI?
Dr. Robert Fafalak's National Provider Identifier (NPI) is 1982683041, issued by NPPES.
Does Dr. Robert Fafalak accept Medicare assignment?
Yes. Dr. Robert Fafalak accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Robert Fafalak commonly perform?
Top Medicare-reported procedures in 2023: Chronic care management services (HCPCS 99490); Injection, denosumab, 1 mg (HCPCS J0897); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.