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FALLON H MAYLACK MD
NPI 1184642993
Orthopaedic Surgery in Bridgeton, MO

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
62.28/100
CMS Quality Rating
12255 DE PAUL DR, STE 845, BRIDGETON, MO 63044(314) 884-6320(314) 884-6321 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2017, Feb 16, 2016 (2 updates tracked since 2016).

About Fallon H Maylack Md NPPES

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

FALLON H MAYLACK MD (NPI 1184642993) is an individual orthopaedic surgery provider in Bridgeton, Missouri, licensed in Missouri (R5E50) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1184642993
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameFALLON H MAYLACKCredential: MD
Location Address12255 DE PAUL DR, STE 845Bridgeton, MO 63044-2510
Mailing AddressPo Box 23340Saint Louis, MO 63156-3340 · (314) 884-6320 · Fax (314) 884-6321
Phone(314) 884-6320
Fax(314) 884-6321
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1982
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 13, 20172 updates tracked since enumeration
✔ NPI 1184642993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · R5E50
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
12255 DE PAUL DR, Bridgeton, MO 63044
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Other Identifiers 3

Medicaid207746702MO
Medicare UPINA13442MO
Medicare PIN124510111MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Fallon H Maylack 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 ID8022048115
PECOS Enrollment IDI20100819001049
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,876 services84 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.
207 services110 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
169 services82 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
55 services36 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.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services18 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

62.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality19.39
Promoting Interoperability82
Improvement Activities40
Cost69.88

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers16 claims283 services$19.52 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.

SSM DEPAUL MEDICAL GROUP, INC.
Family Medicine
12255 DE PAUL DR, SUITE 200
BRIDGETON, MO 63044
St. Louis County (314) 344-7600
NORTH COUNTY NEUROSURGERY, INC
Neurological Surgery
12255 DE PAUL DR, SUITE 830
BRIDGETON, MO 63044
St. Louis County (314) 291-6556
HORIZON BEHAVIORAL HEALTH LLC
Psychiatry & Neurology (Psychiatry)
12255 DE PAUL DR, SUITE 490
BRIDGETON, MO 63044
St. Louis County (314) 344-7770
CHRISTINA M HAWTHORNE DPM
Podiatrist (Foot & Ankle Surgery)
12255 DE PAUL DR, STE 470
BRIDGETON, MO 63044
St. Louis County (314) 739-8863
LISA B RING MD
Dermatology
12255 DE PAUL DR, #845
BRIDGETON, MO 63044
St. Louis County (314) 344-0004
ROBERT BYRNE M.D.
Internal Medicine
12255 DE PAUL DR, SUITE 700
BRIDGETON, MO 63044
St. Louis County (314) 739-4166
MRS. ISABEL LEVINE ROSENBLOOM M.D.
Pediatrics
12255 DE PAUL DR, SUITE 490
BRIDGETON, MO 63044
St. Louis County (314) 291-7766
SSM DEPAUL MEDICAL GROUP, INC.
Neurological Surgery
12255 DE PAUL DR, SUITE 830
BRIDGETON, MO 63044
St. Louis County (314) 291-6556

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 Fallon Maylack's NPI number?

The NPI number for Fallon Maylack is 1184642993. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Fallon Maylack located?

Fallon Maylack practices at 12255 De Paul Dr Ste 845, Bridgeton, MO 63044. The listed phone number is (314) 884-6320.

What is Fallon Maylack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Fallon Maylack enrolled in Medicare?

Yes. Fallon Maylack 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 Fallon Maylack accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Fallon Maylack 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 Fallon Maylack affiliated with any hospitals?

According to CMS data, Fallon Maylack is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Fallon Maylack was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.