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FALLON FAGAN
NPI 1811351919
Psychiatry & Neurology - Psychiatry in Detroit, MI

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
85.72/100
CMS Quality Rating
3031 W GRAND BLVD, SUITE 450, DETROIT, MI 48202(313) 346-5235 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Fallon Fagan NPPES

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

FALLON FAGAN (NPI 1811351919) is an individual psychiatry provider in Detroit, Michigan, licensed in Texas (S4135) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2016).

NPPES Registry Identity

NPI1811351919
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameFALLON FAGAN
Location Address3031 W GRAND BLVD, SUITE 450Detroit, MI 48202-3046
Mailing Address3031 W Grand Blvd, Suite 450Detroit, MI 48202-3046 · (313) 346-5235
Phone(313) 346-5235
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1811351919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · S4135
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3031 W GRAND BLVD, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 15901 Long DrHouston, TX 77087-1003 · Phone (713) 970-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

Fallon Fagan 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 ID941620017
PECOS Enrollment IDI20201012002901
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 4

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.

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.
45 services19 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.
25 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
14 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

85.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.73
Improvement Activities40
Cost87.58

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.

MRS. KAREN ANN WHITE RN, BSN, CDE
Registered Nurse (Diabetes Educator)
3031 W GRAND BLVD, SUITE 800
DETROIT, MI 48202
Wayne County (313) 916-7359
DR. SEMIRA VASANTI GOPIE M.B.B.S.
General Acute Care Hospital
3031 W GRAND BLVD, SUITE 800
DETROIT, MI 48202
Wayne County (313) 916-3761
CHANELL RENEE JAMES
Doula
3031 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ASIA JOYNER CNM
Advanced Practice Midwife
3031 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
MS. KELLY ANN MANN MSN, FNP-BC, CDE
Nurse Practitioner (Family)
3031 W GRAND BLVD, SUITE 800 ENDO METAB
DETROIT, MI 48202
Wayne County (313) 916-3906
DR. LAURIE LINDEN KOHEN M.D.
Dermatology
3031 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2171
DAVID M. OZOG M.D.
Dermatology (MOHS-Micrographic Surgery)
3031 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2454
SHOBANA SANKAR M.D
Internal Medicine (Rheumatology)
3031 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-4824

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 Fallon Fagan's NPI number?

The NPI number for Fallon Fagan is 1811351919. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Fallon Fagan located?

Fallon Fagan practices at 3031 W Grand Blvd Suite 450, Detroit, MI 48202. The listed phone number is (313) 346-5235.

What is Fallon Fagan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Fallon Fagan enrolled in Medicare?

Yes. Fallon Fagan 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 Fallon Fagan accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Fallon Fagan 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 Fallon Fagan was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.