DR. THOMAS J FALLON D.D.S.P.C.
NPI 1013009968
Dentist - Oral and Maxillofacial Pathology in Liverpool, NY

NPI Status: Active since September 29, 2006

Contact Information

5100 W TAFT RD
SUITE #3M NORTH MEDICAL CENTER
LIVERPOOL, NY
ZIP 13088
Phone: (315) 452-2570
Fax: (315) 452-2573

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist
Oral and Maxillofacial Pathology
PECOS Enrolled

About THOMAS FALLON

This page provides the complete NPI Profile along with additional information for Thomas Fallon, a provider established in Liverpool, New York with a medical specialization in Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1013009968 assigned on September 2006. The practitioner's primary taxonomy code is 1223P0106X with license number 032133-1 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1013009968
Provider Name: DR. THOMAS J FALLON D.D.S.P.C.
Gender: Male
Entity Type: Individual
Location Address: 5100 W TAFT RD SUITE #3M NORTH MEDICAL CENTER LIVERPOOL, NY 13088
Location Phone: (315) 452-2570
Location Fax: (315) 452-2573
Mailing Address: 5100 W TAFT RD SUITE #3M LIVERPOOL, NY 13088
Mailing Phone: (315) 452-2570
Mailing Fax: (315) 452-2573
Is Sole Proprietor?: No
Enumeration Date: 09-29-2006
Last Update Date: 07-08-2007
Code Navigator

A dentist like Thomas Fallon is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Oral and Maxillofacial Pathology
Taxonomy Code: 1223P0106X
Type: Dental Providers
License No.: 032133-1
License State: NY
Taxonomy Description: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Medicare Participation & PECOS Enrollment Status

Thomas Fallon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 13088 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $84.93
Minimum New Patient Price $54.87
Maximum New Patient Price $166.88

Average New Patient Copayment $21.23
Minimum New Patient Copayment $13.71
Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $68.57
Minimum Established Patient Price $17.54
Maximum Established Patient Price $136.14

Average Established Patient Copayment $17.14
Minimum Established Patient Copayment $4.38
Maximum Established Patient Copayment $34.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	1	3	0	0	9	9	6	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	2	3	0	0	18	9	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 0 + 1 + 8 + 9 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8									8

The NPI number 1013009968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

JODY S BLEIER MD

Internal Medicine

(Cardiovascular Disease)

5100 W TAFT RD
SUITE 4J
LIVERPOOL, NY
ZIP 13088

About THOMAS FALLON

Location Map

Specialty - Primary Taxonomy

Dentist Oral and Maxillofacial Pathology

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for DR. THOMAS J FALLON D.D.S.P.C.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Thomas Fallon's NPI number?

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