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DR. MARK FALLON D.M.D,
NPI 1780738542
Dentist - General Practice in Mystic, CT

Active since January 22, 2007PECOS Enrolled
117 COW HILL RD, MYSTIC, CT 06355(860) 536-4951(860) 572-1409 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Fallon D.m.d, NPPES

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

DR. MARK FALLON D.M.D, (NPI 1780738542) is an individual general practice provider in Mystic, Connecticut, licensed in Connecticut (6346) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780738542
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK FALLONCredential: D.M.D,
Location Address117 COW HILL RDMystic, CT 06355-1449
Mailing Address117 Cow Hill RdMystic, CT 06355-1449 · (860) 536-4951 · Fax (860) 572-1409
Phone(860) 536-4951
Fax(860) 572-1409
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780738542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 6346
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
117 COW HILL RD, Mystic, CT 06355
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Fallon D.m.d, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06355 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 5

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

DR. MICHAEL THOMAS DEPASCALE DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-9661
MYSTIC WESTERLY ORTHODONTICS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-9661
DR. MICHAEL SMYLE D.D.S.
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-4951
MYSTIC DENTAL GROUP, P.C.
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-4951
DR. JOSEPH KUZMIC D.D.S.
Dentist (General Practice)
117 COW HILL RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-4951

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 Mark Fallon's NPI number?

The NPI number for Mark Fallon is 1780738542. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Mark Fallon located?

Mark Fallon practices at 117 Cow Hill Rd, Mystic, CT 06355. The listed phone number is (860) 536-4951.

What is Mark Fallon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Fallon enrolled in Medicare?

Yes. Mark Fallon is registered in the Medicare PECOS enrollment system.

What insurance does Mark Fallon accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Mark 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 Mark Fallon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.