MICHAEL BROUSE FALLON MD
NPI 1629163613
Internal Medicine - Gastroenterology in Houston, TX

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
6411 FANNIN ST, 1 JONES SUITE 400, HOUSTON, TX 77030(713) 704-6800(713) 704-6616 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Brouse Fallon Md NPPES

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

MICHAEL BROUSE FALLON MD (NPI 1629163613) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (N1316) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1984).

NPPES Registry Identity

NPI1629163613
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL BROUSE FALLONCredential: MD
Location Address6411 FANNIN ST, 1 JONES SUITE 400Houston, TX 77030-1501
Mailing Address6431 Fannin St, Msb 4.234Houston, TX 77030-1501 · (713) 500-6671
Fax(713) 704-6616
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1984
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 18, 2011
NPI 1629163613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in TX · N1316 Licensed in AL · 18655
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6411 FANNIN ST, Houston, TX 77030

Other Identifiers 9

Medicare PIN100006571AL
Other051025081AL · Blue Cross
Other8F6668TX · Bcbs
Medicare PIN8L5514TX
Medicaid0122311MS
Medicaid198331401TX
Medicare UPINB39209AL
Medicare ID-Type Unspecified051025081AL
Medicaid000025081AL

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

Michael Brouse Fallon Md 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 ID446313662
PECOS Enrollment IDI20161025002568
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 5

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services13 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
14 services12 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services34 patients
Colonoscopy NAN13
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
0 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
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.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost59.36

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.

Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6411 FANNIN ST, STE 1020
HOUSTON, TX 77030
Pathology (Anatomic Pathology)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Clinical Pathology/Laboratory Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Anatomic Pathology)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Clinical Pathology/Laboratory Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Clinical Pathology/Laboratory Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Pathology (Anatomic Pathology)
6411 FANNIN ST
HOUSTON, TX 77030

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 Michael Fallon's NPI number?

The NPI number for Michael Fallon is 1629163613. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Michael Fallon located?

Michael Fallon practices at 6411 Fannin St 1 Jones Suite 400, Houston, TX 77030. The listed phone number is (713) 704-6800.

What is Michael Fallon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Fallon enrolled in Medicare?

Yes. Michael 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 Michael Fallon accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Michael 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 Michael Fallon was last updated on January 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.