DR. JOHN S FALLICK MD
NPI 1083791560
Surgery in Lincoln, NE

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
76.43/100
CMS Quality Rating
1101 S 70TH ST, SUITE 100, LINCOLN, NE 68510(402) 483-4292(402) 483-4735 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John S Fallick Md NPPES

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

DR. JOHN S FALLICK MD (NPI 1083791560) is an individual surgery provider in Lincoln, Nebraska, licensed in Nebraska (21129) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1994).

NPPES Registry Identity

NPI1083791560
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN S FALLICKCredential: MD
Location Address1101 S 70TH ST, SUITE 100Lincoln, NE 68510-4278
Mailing Address1101 S 70th St, Suite 100Lincoln, NE 68510-4278 · (402) 483-4292 · Fax (402) 483-4735
Fax(402) 483-4735
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1994
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083791560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NE · 21129
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1101 S 70TH ST, Lincoln, NE 68510

Accepted 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

Dr. John S Fallick Md 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 ID3173559416
PECOS Enrollment IDI20050801001271
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 11

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
114 services55 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
81 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
37 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

York General Hospital

Critical Access Hospitals · York, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281336
Location2222 N Lincoln AveYork, NE 68467 · York County
Emergency services

Memorial Health Care Systems

Critical Access Hospitals · Seward, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281339
Location300 North Columbia AveSeward, NE 68434 · Seward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.63
Promoting Interoperability99
Improvement Activities40
Cost65.63

Reported Quality Measures

Breast Cancer Screening
1%121 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
14%340 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
31%88 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%58 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
80%731 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%624 patients1/55-star benchmark: 98%
Provide Patients Electronic Access to Their Health Information
77%280 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%90 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 236 patients
Patients totalRate: 0% · 236 patients
0%236 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier12 claims174 services$3.30 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
4 suppliers14 claims16 services$3.25 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers20 claims450 services$4.73 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims144 services$2.36 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims801 services$0.21 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers14 claims581 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1101 S 70TH ST, SUIT 201
LINCOLN, NE 68510
Specialist
1101 S 70TH ST, SUITE 203
LINCOLN, NE 68510
Dentist (General Practice)
1101 S 70TH ST, SUITE 201
LINCOLN, NE 68510
Clinic/Center (Sleep Disorder Diagnostic)
1101 S 70TH ST
LINCOLN, NE 68510
Clinic/Center (Sleep Disorder Diagnostic)
1101 S 70TH ST
LINCOLN, NE 68510
Clinic/Center (Sleep Disorder Diagnostic)
1101 S 70TH ST, STE 102
LINCOLN, NE 68510
Durable Medical Equipment & Medical Supplies
1101 S 70TH ST
LINCOLN, NE 68510
Family Medicine
1101 S 70TH ST, SUITE 101
LINCOLN, NE 68510

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 John Fallick's NPI number?

The NPI number for John Fallick is 1083791560. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is John Fallick located?

John Fallick practices at 1101 S 70th St Suite 100, Lincoln, NE 68510. The listed phone number is (402) 483-4292.

What is John Fallick's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Fallick enrolled in Medicare?

Yes. John Fallick 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 John Fallick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list John Fallick 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 John Fallick affiliated with any hospitals?

According to CMS data, John Fallick is affiliated with Bryan Medical Center, Chi Health St. Elizabeth, York General Hospital and Memorial Health Care Systems.

When was this NPI record last updated?

The NPPES record for John Fallick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.