DR. PATRICK J. FALLON M.D.
NPI 1396740544
Orthopaedic Surgery in Auburn, ME

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
690 MINOT AVE, STE 1, AUBURN, ME 04210(207) 783-1328(207) 795-0260 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Patrick J. Fallon M.d. NPPES

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

DR. PATRICK J. FALLON M.D. (NPI 1396740544) is an individual orthopaedic surgery provider in Auburn, Maine, licensed in Maine (013805) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1396740544
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PATRICK J. FALLONCredential: M.D.
Location Address690 MINOT AVE, STE 1Auburn, ME 04210-3922
Mailing Address690 Minot Ave, Ste 1Auburn, ME 04210-3922 · (207) 783-1328 · Fax (207) 795-0260
Fax(207) 795-0260
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 15, 2005
Last NPPES UpdateOctober 7, 2011
NPI 1396740544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in ME · 013805
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

690 MINOT AVE, Auburn, ME 04210

Other Identifiers 14

OtherMM583301New Medicare Ptan
OtherMM0716Medicare Clinic Facility
OtherMM5833Medicare
Medicare UPINF59770
Other010416156Travelers/core/mednet
Other0378600001Dmerc
Other100294000Usps Wc
Other173418Harvard
Other4229509Cigna
Other200044523Rr Medicare
Other043465Anthem
Other1044480Aetna
Other201017Medicare Asc Facility
Other314430099ME · Mainecare

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. Patrick J. 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 ID1052349305
PECOS Enrollment IDI20050728000937
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 8

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.

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.
177 services120 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.
158 services100 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
76 services60 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
55 services48 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.
53 services48 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04210 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

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.

Physician Assistant
690 MINOT AVE
AUBURN, ME 04210
Orthopaedic Surgery
690 MINOT AVE
AUBURN, ME 04210
Physical Medicine & Rehabilitation
690 MINOT AVE, SUITE 1
AUBURN, ME 04210
Physical Therapist
690 MINOT AVE
AUBURN, ME 04210
Specialist/Technologist (Athletic Trainer)
690 MINOT AVE
AUBURN, ME 04210
Physical Therapist
690 MINOT AVE, SUITE TWO
AUBURN, ME 04210
Physician Assistant
690 MINOT AVE
AUBURN, ME 04210
Orthopaedic Surgery
690 MINOT AVE, SUITE ONE
AUBURN, ME 04210

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 Patrick Fallon's NPI number?

The NPI number for Patrick Fallon is 1396740544. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Patrick Fallon located?

Patrick Fallon practices at 690 Minot Ave Ste 1, Auburn, ME 04210. The listed phone number is (207) 783-1328.

What is Patrick Fallon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Patrick Fallon enrolled in Medicare?

Yes. Patrick 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 Patrick Fallon accept?

Health plans from Anthem Blue Cross and Blue Shield list Patrick 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 Patrick Fallon affiliated with any hospitals?

According to CMS data, Patrick Fallon is affiliated with Northern Light A R Gould Hospital and Houlton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Fallon was last updated on October 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.