JOHN H FALLON M.D.
NPI 1326040395
Otolaryngology in Fort Wayne, IN
About John H Fallon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN H FALLON M.D. (NPI 1326040395) is an individual otolaryngology provider in Fort Wayne, Indiana, licensed in Indiana (01035289A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John H Fallon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Fallon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford City, IN 47348
- Reassigned Medicare billing, Indiana enrollment
- 635 clinicians in this Medicare group
Lafayette, IN 47905
- Reassigned Medicare billing, Indiana enrollment
- 671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 John Fallon's NPI number?
The NPI number for John Fallon is 1326040395. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is John Fallon located?
John Fallon practices at 10021 Dupont Circle Ct, Fort Wayne, IN 46825. The listed phone number is (260) 426-8117.
What is John Fallon's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is John Fallon enrolled in Medicare?
Yes. John Fallon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Fallon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fallon reassigns Medicare benefits to 2 organizations: Indiana University Health Ball Memorial Physicians, Inc. (Hartford City, IN) and Arnett Clinic, LLC (Lafayette, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Fallon accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list John 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 John Fallon was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# John H Fallon, M.D. · NPI 1326040395
Otolaryngology physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since August 10, 2005.
## Identity
- **NPI:** 1326040395 (Entity type: Individual)
- **Enumerated:** August 10, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 01035289A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 10021 DUPONT CIRCLE CT, Fort Wayne, IN 46825-1604
- **Phone:** (260) 426-8117 · **Fax:** (260) 420-0817
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Indiana University Health Ball Memorial Physicians, Inc. (NPI 1043539232, Hartford City, IN); Arnett Clinic, LLC (NPI 1164490843, Lafayette, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2013
- **Other identifiers:** Medicare PIN 040014980 (IN); Medicare PIN 047930JJ (IN); Medicare PIN 151060B (IN); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1326040395) · Data from the CMS NPPES public registry.