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KATHERINE ANNE FALLOON
NPI 1043673486
Internal Medicine - Gastroenterology in Cleveland, OH

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment
GASTROENTEROLOGY AND HEPATOLOGY 9500 EUCLID AVE #A30, CLEVELAND, OH 44195(216) 636-9561(216) 636-2508 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2022, Apr 2, 2016 (2 updates tracked since 2016).

About Katherine Anne Falloon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE ANNE FALLOON (NPI 1043673486) is an individual gastroenterology provider in Cleveland, Ohio, licensed in Ohio (35.136361) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1043673486
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameKATHERINE ANNE FALLOON
Location AddressGASTROENTEROLOGY AND HEPATOLOGY 9500 EUCLID AVE #A30Cleveland, OH 44195-0001
Mailing AddressGastroenterology And Hepatology 9500 Euclid Ave #a30Cleveland, OH 44195-0001 · (216) 636-9561 · Fax (216) 636-2508
Phone(216) 636-9561
Fax(216) 636-2508
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2016
Enumeration DateApril 2, 2016
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1043673486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 35.136361
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-7911 · Fax (410) 955-0374

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Anne Falloon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527366954
PECOS Enrollment IDI20200411000441
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services18 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Falloon's NPI number?

The NPI number for Katherine Falloon is 1043673486. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Katherine Falloon located?

Katherine Falloon practices at Gastroenterology And Hepatology 9500 Euclid Ave #a30, Cleveland, OH 44195. The listed phone number is (216) 636-9561.

What is Katherine Falloon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Katherine Falloon enrolled in Medicare?

Yes. Katherine Falloon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katherine Falloon accept?

Health plans from Oscar Insurance Corporation of Ohio list Katherine Falloon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katherine Falloon affiliated with any hospitals?

According to CMS data, Katherine Falloon is affiliated with Cleveland Clinic, Hillcrest Hospital and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Falloon was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.