1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Surgery
  6. NPI Profile

NINA FALLON DO
NPI 1871944769
Surgery in Erie, PA

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
300 STATE ST STE 401, ERIE, PA 16507(814) 877-4577(814) 455-3001 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2021, Jun 22, 2016 (2 updates tracked since 2016).

About Nina Fallon Do NPPES

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

NINA FALLON DO (NPI 1871944769) is an individual surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (OS021180) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of West Virginia School Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1871944769
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNINA FALLONCredential: DO
Location Address300 STATE ST STE 401Erie, PA 16507-1438
Mailing Address300 State St Ste 401Erie, PA 16507-1438 · (814) 877-4577 · Fax (814) 455-3001
Phone(814) 877-4577
Fax(814) 455-3001
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 22, 2016
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1871944769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · OS021180
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
300 STATE ST STE 401, Erie, PA 16507
Open in Google Maps ↗

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

Nina Fallon Do 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 ID4789978701
PECOS Enrollment IDI20210701002304
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 3

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.

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.
47 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
33 services33 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.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Other Providers at the Same Location NPPES 16

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

MATTHEW HEITZENRATER DO
Family Medicine
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5333
CHRISTA MARY ALLEN CRNP
Nurse Practitioner (Family)
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330
ELENA KOVALEVICH CRNP
Nurse Practitioner
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330
HALEY MICHELLE ENGLERT PA-C
Physician Assistant (Surgical)
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-8680
KATHRYN CAWLEY
Physician Assistant (Surgical)
300 STATE ST STE 401, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Erie County (814) 877-8370
RAFAEL ENRIQUE PEREZ D.O.
Surgery
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-4577
GREGORY N BOWDEN M.D,
Neurological Surgery
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330
JEREMY GUY STONE M.D.
Neurological Surgery
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330

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 Nina Fallon's NPI number?

The NPI number for Nina Fallon is 1871944769. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Nina Fallon located?

Nina Fallon practices at 300 State St Ste 401, Erie, PA 16507. The listed phone number is (814) 877-4577.

What is Nina Fallon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nina Fallon enrolled in Medicare?

Yes. Nina 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.

Is Nina Fallon affiliated with any hospitals?

According to CMS data, Nina Fallon is affiliated with Upmc Hamot and Meadville Medical Center.

When was this NPI record last updated?

The NPPES record for Nina Fallon was last updated on August 4, 2021. 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.