DR. ZACHARY PATRICK FALLON M.D.
NPI 1225491004
Physical Medicine & Rehabilitation in Saint Peters, MO

Q: What is Zachary Fallon's NPI number?

The NPI number for Zachary Fallon is 1225491004. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Zachary Fallon's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Fallon was last updated on September 20, 2022. 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 March 30, 2016PECOS EnrolledAccepts Medicare Assignment

71.56/100

CMS Quality Rating

5200 EXECUTIVE CENTRE PKWY STE 300, SAINT PETERS, MO 63376(636) 441-3444(636) 441-9832 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Dec 3, 2021, Mar 30, 2016 (3 updates tracked since 2016).

On this page

About Dr. Zachary Patrick Fallon M.d. NPPES

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

DR. ZACHARY PATRICK FALLON M.D. (NPI 1225491004) is an individual physical medicine & rehabilitation provider in Saint Peters, Missouri, licensed in Missouri (2022008983) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225491004

Entity TypeIndividualMale

Primary Taxonomy208100000X

Provider Legal NameDR. ZACHARY PATRICK FALLONCredential: M.D.

Location Address5200 EXECUTIVE CENTRE PKWY STE 300Saint Peters, MO 63376-3394

Mailing AddressPo Box 430Saint Peters, MO 63376-0008

Phone(636) 441-3444

Fax(636) 441-9832

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 30, 2016

Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1225491004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians

Taxonomy Code208100000X

Licenses✔ Licensed in MO · 2022008983✔ Licensed in AL · 41415

Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

5200 EXECUTIVE CENTRE PKWY STE 300, Saint Peters, MO 63376

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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, UnitedHealthcare.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. Zachary Patrick Fallon M.d. 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 ID5092134999

PECOS Enrollment IDI20220429001326

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 24

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, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

3,816 services202 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

340 services214 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.

337 services223 patients

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.

297 services49 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

126 services111 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

91 services76 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

73 services73 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.

59 services59 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.

58 services58 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.

54 services51 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

50 services42 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

44 services25 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

44 services25 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

40 services22 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

40 services22 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

31 services30 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

29 services23 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.

27 services23 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

27 services20 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

20 services20 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

19 services11 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

19 services16 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

12 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260179

Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County

Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260191

Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County

Emergency services

Progress West Hospital

Acute Care Hospitals · O Fallon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260219

Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County

Emergency services Birthing friendly

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO

OwnershipGovernment - Local

CMS Certification Number261319

Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County

Emergency services

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.

71.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.22

Improvement Activities

Cost

44.23

Referred Medical Equipment & Supplies CMS DME claims 7

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

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

2 suppliers19 claims19 services$8.40 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers16 claims16 services$54.62 avg. paid by Medicare

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910

DME-Other DME · category DE000N

1 supplier12 claims12 services$8.58 avg. paid by Medicare

Manual wheelchair accessory, wheel lock brake extension (handle), each E0961

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$1.75 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

2 suppliers43 claims52 services$2.47 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers59 claims59 services$13.54 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 3

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

ST PETERS BONE & JOINT SURGERY INC.

Orthopaedic Surgery

5200 EXECUTIVE CENTRE PKWY STE 300
SAINT PETERS, MO 63376

St. Charles County (636) 441-3444

SAMANTHA BUNCH APRN FNP-BC

Nurse Practitioner (Primary Care)

5200 EXECUTIVE CENTRE PKWY STE 300
SAINT PETERS, MO 63376

St. Charles County (636) 229-4222

KARLY ALEXA SHEPPARD FNP-C

Nurse Practitioner (Family)

5200 EXECUTIVE CENTRE PKWY STE 300
SAINT PETERS, MO 63376

St. Charles County (636) 229-4222

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 Zachary Fallon's NPI number?

The NPI number for Zachary Fallon is 1225491004. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Zachary Fallon located?

Zachary Fallon practices at 5200 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376. The listed phone number is (636) 441-3444.

What is Zachary Fallon's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Zachary Fallon enrolled in Medicare?

Yes. Zachary 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.

What insurance does Zachary Fallon accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Zachary 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.

Is Zachary Fallon affiliated with any hospitals?

According to CMS data, Zachary Fallon is affiliated with St Lukes Hospital, Barnes-Jewish St Peters Hospital, Progress West Hospital and Mercy Hospital Lincoln.

When was this NPI record last updated?

The NPPES record for Zachary Fallon was last updated on September 20, 2022. 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.