Am J Ophthalmol Case Rep
Dr. Kyle S. Fallgatter, MD
NPI1588160188PAC ID2668718131
- Medicare services, 2024
- 560
- Medicare patients, 2024
- 195
- Part D claims, 2024
- 134
- Publications
- 2
- MIPS score, 2024
- 100
- Practice address
- 11373 Cortez Blvd, Brooksville, FL 34613
- Practice phone
- Call (954) 776-6880
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Retina Group of Florida
Brooksville, Florida
Find Dr. Fallgatter's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Kyle S. Fallgatter is an ophthalmologist in Brooksville, Florida
Dr. Fallgatter practices at Retina Group of Florida in Brooksville, Florida.
Dr. Fallgatter's NPI, 1588160188, was assigned on April 3, 2018. Dr. Fallgatter graduated from University Of Florida College Of Medicine in 2018. Dr. Fallgatter holds Florida license ME168086.
NPI and contact details
- NPI
- 1588160188NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2668718131
- NPI enumeration date
- April 3, 2018
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (954) 776-6880
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 34
- Medical school graduation
- 2018
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Kyle S. Fallgatter practices at Retina Group of Florida in Brooksville, Florida
Dr. Fallgatter's primary practice is Retina Group of Florida, at 11373 Cortez Blvd, Brooksville, FL 34613 in Hernando County. The practice phone is (954) 776-6880.
- Retina Group of Florida11373 Cortez Blvd, Brooksville, FL 34613 · Hernando CountyPhone(954) 776-6880
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Kyle S. Fallgatter is affiliated with 3 sites of care and 1 medical group
Dr. Fallgatter's primary practice is Retina Group of Florida in Brooksville, Florida. Dr. Fallgatter is also affiliated with Ascension St. Vincent's Riverside. Dmand AI also links Dr. Fallgatter to 1 more group practice or clinic and 1 medical group, each named with a free account.
Retina Group of FloridaPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Kyle S. Fallgatter's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Fallgatter practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Retina Group of Florida | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Kyle S. Fallgatter is one of 1,398 ophthalmologists in Florida
Ophthalmology is Dr. Fallgatter's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dmand AI has Dr. Fallgatter's licenses on file in 3 states: Florida, Georgia and Pennsylvania.
Specialties and state licenses
- Ophthalmology, FloridaPrimary
- Georgia license
- Pennsylvania license
Clinical focus
Dmand AI lists age-related macular degeneration among the conditions Dr. Fallgatter treats.
Ophthalmologists near Dr. Fallgatter
Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Kyle S. Fallgatter billed Medicare for 560 services in 2024
CMS data shows 560 Medicare services from Dr. Fallgatter across 7 procedure codes in 2024, for 195 Medicare patients. Medicare paid $101,706 for them. Every service was in an office.
Medicare services, 2024560
Medicare patients195
Paid by Medicare$101,706
Procedure codes7
Dr. Fallgatter's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 02024: 266
- Drugs given in the office
- 2023: 262024: 112331%
- Office and hospital visits
- 2023: 202024: 102410%
- Surgery
- 2023: 122024: 80567%
Dr. Fallgatter compared with the Florida median for ophthalmologists, 2024
- Dr. Fallgatter
- Florida median
- Medicare services
- 560vs 1,69967% below
- Medicare patients
- 195vs 55765% below
- Part D claims
- 77vs 81891% below
Medians across 1,345 ophthalmologists in Florida with Dmand AI profiles that report each measure.
Dr. Fallgatter's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Fallgatter?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Fallgatter and other ophthalmologists in Florida.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Kyle S. Fallgatter treated 195 Medicare patients in 2024, average age 76
CMS counts 195 Medicare patients who saw Dr. Fallgatter in 2024. The largest group is 65 to 74, with 79 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 7% are also on Medicaid. Their average risk score is 1.40, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Fallgatter's median patient age at 72, with 63% women.
Medicare patients, 2024195
Average age76
Average risk score1.40
Also on Medicaid7%
Dr. Fallgatter's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Fallgatter's Medicare patients by sex, 2024
- Women10051%
- Men9549%
Chronic conditions among Dr. Fallgatter's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis52%
- Ischemic heart disease31%
- Diabetes30%
- Chronic kidney disease29%
- Atrial fibrillation20%
- Heart failure20%
Share of Medicare patients with each condition. A patient can have several.
Dr. Fallgatter's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
Patient panel by sex, all payers
- Women63%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Kyle S. Fallgatter wrote 134 Medicare Part D claims in 2024
In 2024, Dr. Fallgatter wrote 134 Medicare Part D claims for 50 patients. 72% of them were for generic drugs. CMS names the drug for 77 of them, across 3 drugs with 11 or more claims each, at $3,317 in total drug cost. In 2022, CMS named 122 claims across 6 drugs.
Part D claims, 2024134
Drugs named by CMS3
Total drug cost$3,317
Part D patients50
Dr. Fallgatter's Part D claims by kind of drug, 2024
- Generic97 claims72%
- Brand-name37 claims28%
Dr. Fallgatter's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2022 to 2024
- 2022
- 2024
- Claims for drugs CMS names
- 2022: 1222024: 7737%
Drugs named by CMS: 3 in 2024, 6 in 2022.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Kyle S. Fallgatter scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Fallgatter for performance year 2024, reported as part of a group. Dr. Fallgatter accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Fallgatter's MIPS scores, performance year 2024
- 100of 100Final score
- 99of 100Quality
- 99of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Cataract surgery: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Kyle S. Fallgatter has 2 publications on record
Dmand AI links 2 papers to Dr. Fallgatter, published from 2022 to 2023. Dr. Fallgatter's most frequent co-authors are Azka Ali, MD, Thomas J. George, MD and Lauren Jeang, MD.
Papers2
Years published2022 to 2023
Dr. Fallgatter's most frequent co-authors
Recent publications by Dr. Fallgatter
Cancer Treat Rev
Antineoplastic AgentsMolecular Targeted TherapyOncologists
See who Dr. Fallgatter researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Fallgatter works with, so you can find a warm path to the right ophthalmologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Kyle S. Fallgatter received $2,981 in industry payments from 2019 to 2025
CMS Open Payments shows 20 general payments to Dr. Fallgatter from 6 drug and device companies from 2019 to 2025. Travel and lodging make up the largest share, 70% of the total. Alcon Laboratories Inc paid the most, $1,564.
General payments to Dr. Fallgatter by program year, 2019 to 2025
General payments to Dr. Fallgatter by kind, 2019 to 2025
$3Kin total
- Travel and lodging$2,09670%
- Food and beverage$78526%
- Education$1003%
Companies that paid Dr. Fallgatter the most, 2019 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Kyle S. Fallgatter graduated from University Of Florida College Of Medicine
Dr. Fallgatter graduated from University Of Florida College Of Medicine in 2018.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. Kyle S. Fallgatter accepts plans from 23 insurance carriers
Dr. Fallgatter is in network with 23 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 14. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Excellus BlueCross BlueShield
- Blue Cross Blue Shield of Michigan
- Highmark
- United Healthcare
- HCSC
- Humana
- +15 more carriersWith a free account
Plan types Dr. Fallgatter accepts, by number of carriers
- PPO14
- HMO12
- Medicare10
- POS8
- EPO6
- Medicaid2
Source: Dmand AI Insurance Network Data
Sources for Dr. Kyle S. Fallgatter's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Kyle S. Fallgatter
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Kyle S. Fallgatter's NPI number?
Dr. Kyle S. Fallgatter's NPI number is 1588160188. It was assigned on April 3, 2018, and it is active in the NPI Registry.
What kind of doctor is Dr. Kyle S. Fallgatter?
Dr. Kyle S. Fallgatter is an ophthalmologist in Brooksville, Florida. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).
Where does Dr. Kyle S. Fallgatter practice?
Dr. Fallgatter practices at 11373 Cortez Blvd, Brooksville, FL 34613. Dr. Fallgatter's primary practice is Retina Group of Florida in Brooksville, Florida. Dmand AI also links Dr. Fallgatter to 1 group practice or clinic and 1 medical group.
What is Dr. Kyle S. Fallgatter's office phone number?
The practice phone on file for Dr. Fallgatter is (954) 776-6880.
What is Dr. Kyle S. Fallgatter's medical license number?
Dr. Fallgatter holds Florida license ME168086, one of the licenses on file in 3 states.
Which states has Dr. Kyle S. Fallgatter been licensed in?
Dmand AI has state licenses on file for Dr. Fallgatter in Florida (2024 to 2026), Georgia (2024 to 2025) and Pennsylvania (2022 to 2024).
Which hospitals is Dr. Kyle S. Fallgatter affiliated with?
Dr. Fallgatter is affiliated with Ascension St. Vincent's Riverside.
Does Dr. Kyle S. Fallgatter accept Medicare?
Yes. CMS data shows Dr. Fallgatter billed Medicare for 560 services in 2024, and Dr. Fallgatter accepts Medicare assignment.
What is Dr. Kyle S. Fallgatter's MIPS score?
Dr. Fallgatter's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.
How many Medicare patients does Dr. Kyle S. Fallgatter see?
CMS counts 195 Medicare patients who saw Dr. Fallgatter in 2024, with an average age of 76.
Show 8 more questionsShow fewer questions
What services does Dr. Kyle S. Fallgatter bill to Medicare?
In 2024, Dr. Fallgatter's most billed Medicare services were eye exam or test (92250), injected or infused drug (J0178) and surgery: eye (67028).
Where did Dr. Kyle S. Fallgatter go to medical school?
Dr. Fallgatter graduated from University Of Florida College Of Medicine in 2018.
What drugs does Dr. Kyle S. Fallgatter prescribe most?
In 2024 Medicare Part D data, Dr. Fallgatter's most prescribed drugs by claims were Prednisolone Acetate, Moxifloxacin and Atropine Sulfate.
Has Dr. Kyle S. Fallgatter received payments from drug or device companies?
CMS Open Payments shows $2,981 in general payments to Dr. Fallgatter from 6 companies from 2019 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Dr. Kyle S. Fallgatter been practicing?
Dr. Fallgatter graduated from medical school in 2018, 8 years ago.
Does Dr. Kyle S. Fallgatter do research?
Dmand AI links 2 publications to Dr. Fallgatter, published from 2022 to 2023.
Who does Dr. Kyle S. Fallgatter publish with?
Dr. Fallgatter's most frequent co-authors are Azka Ali, MD (1 shared paper), Thomas J. George, MD (1 shared paper) and Lauren Jeang, MD (1 shared paper).
What insurance does Dr. Kyle S. Fallgatter accept?
Dr. Fallgatter is in network with 23 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 14. Check the plan with the practice before a visit.
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