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MITCHELL THOMAS FALLON PA-C
NPI 1720366255
Physician Assistant in Newport Beach, CA

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment
520 SUPERIOR AVE STE 300, NEWPORT BEACH, CA 92663(949) 764-1411 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Nov 7, 2024 (2 updates tracked since 2024).

About Mitchell Thomas Fallon Pa-c NPPES

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

MITCHELL THOMAS FALLON PA-C (NPI 1720366255) is an individual physician assistant in Newport Beach, California, licensed in California (PA21619) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720366255
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMITCHELL THOMAS FALLONCredential: PA-C
Location Address520 SUPERIOR AVE STE 300Newport Beach, CA 92663-3668
Mailing Address520 Superior Ave Ste 300Newport Beach, CA 92663-3668 · (949) 764-1411
Phone(949) 764-1411
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 2, 2011
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1720366255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA21619
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
520 SUPERIOR AVE STE 300, Newport Beach, CA 92663
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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

Mitchell Thomas Fallon Pa-c 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 ID1850563289
PECOS Enrollment IDI20111007000260
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 2

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

KUNAL RAGHUBANS SINHA MD
Physical Medicine & Rehabilitation
520 SUPERIOR AVE STE 300
NEWPORT BEACH, CA 92663
Orange County (949) 764-1411
MRS. NICOLE A TOMLIN PA-C
Physician Assistant
520 SUPERIOR AVE STE 300
NEWPORT BEACH, CA 92663
Orange County (949) 474-5722

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 Mitchell Fallon's NPI number?

The NPI number for Mitchell Fallon is 1720366255. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Mitchell Fallon located?

Mitchell Fallon practices at 520 Superior Ave Ste 300, Newport Beach, CA 92663. The listed phone number is (949) 764-1411.

What is Mitchell Fallon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mitchell Fallon enrolled in Medicare?

Yes. Mitchell 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.

When was this NPI record last updated?

The NPPES record for Mitchell Fallon was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.