DR. JONATHAN M FALLON D.O., M.S.
NPI 1396955738
Orthopaedic Surgery in West Hatfield, MA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
4 WEST ST, WEST HATFIELD, MA 01088(413) 586-8200(413) 582-1460 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan M Fallon D.o., M.s. NPPES

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

DR. JONATHAN M FALLON D.O., M.S. (NPI 1396955738) is an individual orthopaedic surgery provider in West Hatfield, Massachusetts, licensed in Massachusetts (235996) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2003).

NPPES Registry Identity

NPI1396955738
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JONATHAN M FALLONCredential: D.O., M.S.
Location Address4 WEST STWest Hatfield, MA 01088-9515
Mailing Address4 West StWest Hatfield, MA 01088-9515 · (413) 586-8200 · Fax (413) 582-1460
Fax(413) 582-1460
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2003
Enumeration DateMay 23, 2007
Last NPPES UpdateFebruary 9, 2011
NPI 1396955738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MA · 235996
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.
4 WEST ST, West Hatfield, MA 01088

Other Identifiers 2

Medicaid2155401MA
Medicare PIN000652101MA

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. Jonathan M Fallon D.o., M.s. 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 ID6709952054
PECOS Enrollment IDI20080910000267
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 14

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, 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.
633 services44 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.
148 services118 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.
145 services122 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.
91 services65 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.
66 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01088 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 19

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

Orthopaedic Surgery
4 WEST ST
WEST HATFIELD, MA 01088
Physical Therapist
4 WEST ST
WEST HATFIELD, MA 01088
Physical Therapist
4 WEST ST
WEST HATFIELD, MA 01088
Physical Therapist
4 WEST ST
WEST HATFIELD, MA 01088
Orthopaedic Surgery
4 WEST ST
WEST HATFIELD, MA 01088
Orthopaedic Surgery
4 WEST ST
WEST HATFIELD, MA 01088
Orthopaedic Surgery
4 WEST ST
WEST HATFIELD, MA 01088
Orthopaedic Surgery
4 WEST ST
WEST HATFIELD, MA 01088

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 Jonathan Fallon's NPI number?

The NPI number for Jonathan Fallon is 1396955738. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Jonathan Fallon located?

Jonathan Fallon practices at 4 West St, West Hatfield, MA 01088. The listed phone number is (413) 586-8200.

What is Jonathan Fallon's specialty?

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

Is Jonathan Fallon enrolled in Medicare?

Yes. Jonathan 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 Jonathan Fallon accept?

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

According to CMS data, Jonathan Fallon is affiliated with Cooley Dickinson Hospital Inc,the.

When was this NPI record last updated?

The NPPES record for Jonathan Fallon was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.