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DR. THOMAS BRENDAN FALLON DDS
NPI 1225293160
Dentist - General Practice in Orchard Park, NY

Active since July 21, 2008PECOS Enrolled
3326 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127(716) 677-4255(716) 677-4358 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Brendan Fallon Dds NPPES

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

DR. THOMAS BRENDAN FALLON DDS (NPI 1225293160) is an individual general practice provider in Orchard Park, New York, licensed in New York (057087) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225293160
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS BRENDAN FALLONCredential: DDS
Location Address3326 SOUTHWESTERN BLVDOrchard Park, NY 14127-1524
Mailing Address3326 Southwestern BlvdOrchard Park, NY 14127-1524 · (716) 677-4255 · Fax (716) 677-4358
Phone(716) 677-4255
Fax(716) 677-4358
Sole ProprietorNo
Enumeration DateJuly 21, 2008
Last NPPES UpdateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1225293160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 057087
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3326 SOUTHWESTERN BLVD, Orchard Park, NY 14127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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 (PECOS)

Dr. Thomas Brendan Fallon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 6

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

DR. MELISSA MARIE FALLON D.D.S.
Dentist
3326 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (716) 677-4255
DR. ADAM STEELE UNGARO D.D.S.
Dentist (Pediatric Dentistry)
3326 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (166) 774-2557
DR. RICHARD THOMAS MCLANAHAN D.M.D.
Dentist (General Practice)
3326 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (716) 636-8686
JEREMY DEBOTTIS
Dentist
3326 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (716) 636-8686
DR. GARY PETER SWISTAK D.D.S.
Dentist
3326 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (716) 636-8686
DR. VALLI NADARAJAH DDS
Dentist (General Practice)
3326 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (176) 677-4245

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 Thomas Fallon's NPI number?

The NPI number for Thomas Fallon is 1225293160. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Thomas Fallon located?

Thomas Fallon practices at 3326 Southwestern Blvd, Orchard Park, NY 14127. The listed phone number is (716) 677-4255.

What is Thomas Fallon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Fallon enrolled in Medicare?

Yes. Thomas Fallon is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Fallon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Thomas 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 Thomas Fallon was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.