FALLON HOVERSON MD
NPI 1871889642
Family Medicine in Grand Forks, ND

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
725 HAMLINE ST, GRAND FORKS, ND 58203(701) 780-6000(701) 780-4391 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Fallon Hoverson Md NPPES

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

FALLON HOVERSON MD (NPI 1871889642) is an individual family medicine provider in Grand Forks, North Dakota, licensed in North Dakota (RL11978) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of University Of North Dakota School Of Medicine (2011).

NPPES Registry Identity

NPI1871889642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameFALLON HOVERSONCredential: MD
Location Address725 HAMLINE STGrand Forks, ND 58203-2819
Mailing Address2401 Demers AveGrand Forks, ND 58201-4183 · (701) 780-4085 · Fax (701) 780-4477
Fax(701) 780-4391
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateJune 8, 2020
NPPES CertifiedJune 8, 2020
NPI 1871889642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ND · RL11978
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
725 HAMLINE ST, Grand Forks, ND 58203

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

Fallon Hoverson 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 ID4183845787
PECOS Enrollment IDI20141023002700
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 7

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 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.
119 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 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.
43 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
31 services18 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.
17 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58203 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier11 claims11 services$40.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Student in an Organized Health Care Education/Training Program
725 HAMLINE ST
GRAND FORKS, ND 58203
Pharmacist (Pharmacotherapy)
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203

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 Hoverson's NPI number?

The NPI number for Fallon Hoverson is 1871889642. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Fallon Hoverson located?

Fallon Hoverson practices at 725 Hamline St, Grand Forks, ND 58203. The listed phone number is (701) 780-6000.

What is Fallon Hoverson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fallon Hoverson enrolled in Medicare?

Yes. Fallon Hoverson 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 Hoverson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Fallon Hoverson 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 Fallon Hoverson affiliated with any hospitals?

According to CMS data, Fallon Hoverson is affiliated with Altru Hospital.

When was this NPI record last updated?

The NPPES record for Fallon Hoverson was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.