DR. MICHAEL JOSEPH FALLON MD
NPI 1184623381
Radiology - Radiation Oncology in Eau Claire, WI

Q: What is Michael Fallon's NPI number?

The NPI number for Michael Fallon is 1184623381. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Michael Fallon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fallon was last updated on April 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.

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment

2200 CRAIG RD, EAU CLAIRE, WI 54701(715) 858-8100 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Michael Joseph Fallon Md NPPES

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

DR. MICHAEL JOSEPH FALLON MD (NPI 1184623381) is an individual radiation oncology provider in Eau Claire, Wisconsin, licensed in Wisconsin (38962) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1184623381

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. MICHAEL JOSEPH FALLONCredential: MD

Location Address2200 CRAIG RDEau Claire, WI 54701-2699

Mailing Address1000 N Oak AvenueMarshfield, WI 54449-4038 · (715) 387-5511

Phone(715) 858-8100

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJuly 19, 2005

Last NPPES UpdateApril 20, 2023

NPPES CertifiedApril 13, 2023

✔ NPI 1184623381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Licenses✔ Licensed in WI · 38962✔ Licensed in IL · 036153253

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Also ListedSpecialistTaxonomy 174400000X · License 197667 (NY)

2200 CRAIG RD, Eau Claire, WI 54701

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Other Identifiers 1

Medicaid02164501NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan.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

Dr. Michael Joseph Fallon 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 ID8426016635

PECOS Enrollment IDI20230414000646

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 Reassignments

Medicare enrollment records show Michael Fallon reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc

0.1 mi

Clinic/Center

2310 CRAIG RD
Eau Claire, WI 54701

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1952890873 (Wisconsin)
2,476 clinicians in this Medicare group

NPI 1316416035 (715) 858-8100

Lakeview Medical Center Inc Of Rice Lake

37 mi

Clinic/Center

806 2ND ST
Chetek, WI 54728

Reassigned Medicare billing, Wisconsin enrollment
1,616 clinicians in this Medicare group

NPI 1659008605 (715) 924-2000

Memorial Hospital Inc

47 mi

Clinic/Center

N3708 RIVER AVE
Neillsville, WI 54456

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1346239373 (Wisconsin)
1,440 clinicians in this Medicare group

NPI 1033701800 (715) 743-3101

Marshfield Clinic Inc

66 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Flambeau Hospital Inc

94 mi

Clinic/Center

98 SHERRY AVE
Park Falls, WI 54552

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1700963048 (Wisconsin)
1,351 clinicians in this Medicare group

NPI 1194317966 (715) 762-2484

Beaver Dam Community Hosptials Inc

159 mi

Family Medicine

1580 W JAMES ST
Columbus, WI 53925

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Beaver Dam Community Hospitals Inc.
1,447 clinicians in this Medicare group

NPI 1275833659 (920) 350-0235

Guthrie Medical Group, P.C.

749 mi

Multi-Specialty

130 CENTERWAY
Corning, NY 14830

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Guthrie Medical Group PC
798 clinicians in this Medicare group

NPI 1134178635 (607) 936-9971

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

Areas of Expertise CMS Part B claims 12

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

730 services42 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

173 services44 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

171 services46 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

128 services48 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.

48 services48 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

46 services44 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

43 services29 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

30 services28 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

24 services17 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

21 services20 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 services18 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

19 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520011

Location1700 West Stout StreetRice Lake, WI 54868 · Barron County

Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520037

Location611 St Joseph AveMarshfield, WI 54449 · Wood County

Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520210

Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County

Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number521328

Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County

Emergency services

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521337

Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 11

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

SHERRI TOELKE RN

Registered Nurse (Oncology)