1. Home
  2. Directory
  3. New York
  4. Liverpool
  5. Dentist
  6. NPI Profile

PAUL FALLON D.D.S.
NPI 1235552639
Dentist - Oral and Maxillofacial Surgery in Liverpool, NY

Active since January 22, 2014Opted out of Medicare · through Sep 1, 2027
4820 W TAFT RD, LIVERPOOL, NY 13088(315) 451-6988(315) 453-0150 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Fallon D.d.s. NPPES

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

PAUL FALLON D.D.S. (NPI 1235552639) is an individual oral and maxillofacial surgery provider in Liverpool, New York, licensed in New York (026188) and active in the NPI registry since January 2014. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235552639
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NamePAUL FALLONCredential: D.D.S.
Location Address4820 W TAFT RDLiverpool, NY 13088-2800
Mailing Address4820 W Taft RdLiverpool, NY 13088-2800 · (315) 451-6988 · Fax (315) 453-0150
Phone(315) 451-6988
Fax(315) 453-0150
Sole ProprietorNo
Enumeration DateJanuary 22, 2014
✔ NPI 1235552639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 026188
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4820 W TAFT RD, Liverpool, NY 13088
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Paul Fallon D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2015 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2015
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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 20

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

AMY CAMBARERI PH.D.
Psychologist
4820 W TAFT RD, SUITE 108
LIVERPOOL, NY 13088
Onondaga County (315) 546-4743
HOOMAN RANJBARAN-JAHROMI M.D.
Internal Medicine (Cardiovascular Disease)
4820 W TAFT RD, #209
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215
MRS. ELIZABETH MARIE CARRIGAN
Nurse Practitioner (Family)
4820 W TAFT RD, SUITE 201
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215
GARY M FREEMAN MD
Family Medicine
4820 W TAFT RD, STE 215
LIVERPOOL, NY 13088
Onondaga County (315) 413-0004
MARY MAZZA NP
Nurse Practitioner (Family)
4820 W TAFT RD, SUITE 209
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215
DR. THOMAS BENNETT NOLAN DDS
Dentist (General Practice)
4820 W TAFT RD
LIVERPOOL, NY 13088
Onondaga County (315) 451-4900
DOUGLASS POWELL M.D.
Obstetrics & Gynecology (Gynecology)
4820 W TAFT RD, SUITE 208
LIVERPOOL, NY 13088
Onondaga County (315) 451-2261
CYNTHIA J KAYLOR PA
Physician Assistant (Medical)
4820 W TAFT RD, SUITE 209
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215

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 Paul Fallon's NPI number?

The NPI number for Paul Fallon is 1235552639. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Where is Paul Fallon located?

Paul Fallon practices at 4820 W Taft Rd, Liverpool, NY 13088. The listed phone number is (315) 451-6988.

What is Paul Fallon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Paul Fallon enrolled in Medicare?

No. Paul Fallon has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Paul Fallon was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.