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MICHAEL FALLON PMHNP
NPI 1184325524
Nurse Practitioner - Psychiatric/Mental Health in Billings, MT

Active since March 13, 2023PECOS EnrolledAccepts Medicare Assignment
27 N 27TH ST STE 21E, BILLINGS, MT 59101(406) 200-8471 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2023, Mar 13, 2023 (2 updates tracked since 2023).

About Michael Fallon Pmhnp NPPES

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

MICHAEL FALLON PMHNP (NPI 1184325524) is an individual psychiatric/mental health provider in Billings, Montana, licensed in Montana (NUR-APRN-LIC-213539) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184325524
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL FALLONCredential: PMHNP
Location Address27 N 27TH ST STE 21EBillings, MT 59101-2373
Mailing Address27 N 27th St Ste 21eBillings, MT 59101-2373
Phone(406) 200-8471
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 13, 2023
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1184325524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MT · NUR-APRN-LIC-213539
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License NUR-APRN-LIC-213539 (MT)
27 N 27TH ST STE 21E, Billings, MT 59101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Fallon Pmhnp 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 ID9234504135
PECOS Enrollment IDI20230406001467, I20251001000271
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Fallon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frontier Psychiatry, PLLC
2.6 mi
Psychiatry
1601 LEWIS AVE STE 102
Billings, MT 59102
  • Reassigned Medicare billing, Montana and Wyoming enrollments
  • 28 clinicians in this Medicare group
NPI 1508493156 (406) 284-8814

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Other Providers at the Same Location NPPES 2

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

LAURA ANNE CALLAN
Nurse Practitioner (Psychiatric/Mental Health)
27 N 27TH ST STE 21E
BILLINGS, MT 59101
Yellowstone County (901) 828-9799
DR. MATTHEW E PERDUE MD
Psychiatry & Neurology (Addiction Psychiatry)
27 N 27TH ST STE 21E
BILLINGS, MT 59101
Yellowstone County (406) 200-8471

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 Michael Fallon's NPI number?

The NPI number for Michael Fallon is 1184325524. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Michael Fallon located?

Michael Fallon practices at 27 N 27th St Ste 21E, Billings, MT 59101. The listed phone number is (406) 200-8471.

What is Michael Fallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Fallon enrolled in Medicare?

Yes. Michael Fallon 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.

Which organization bills Medicare for Michael Fallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fallon reassigns Medicare benefits to Frontier Psychiatry, PLLC (Billings, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Fallon accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans, Providence Health Plan and UnitedHealthcare list Michael Fallon 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.

When was this NPI record last updated?

The NPPES record for Michael Fallon was last updated on March 20, 2023. 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.