DR. JOHN MICHAEL FALLON II M.D.
NPI 1386962546
Surgery in Portland, ME
About Dr. John Michael Fallon Ii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN MICHAEL FALLON II M.D. (NPI 1386962546) is an individual surgery provider in Portland, Maine, licensed in Maine (23984) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Massachusetts Medical School (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. John Michael Fallon Ii 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEMid Coast Hospital
Acute Care Hospitals · Brunswick, MEMaine General Medical Center
Acute Care Hospitals · Augusta, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 1386962546. It was assigned to this individual provider in the NPPES registry on May 12, 2010.
Where is John Fallon located?
John Fallon practices at 818 Congress St Dept Of, Portland, ME 04102. The listed phone number is (207) 773-8161.
What is John Fallon's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Fallon enrolled in Medicare?
Yes. John 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 John Fallon accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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.
Is John Fallon affiliated with any hospitals?
According to CMS data, John Fallon is affiliated with Maine Medical Center, Mid Coast Hospital and Maine General Medical Center.
When was this NPI record last updated?
The NPPES record for John Fallon was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
