THOMAS B FALLOON MD
NPI 1902897051
Neurological Surgery in Saint Cloud, MN

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131(320) 240-2118 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas B Falloon Md NPPES

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

THOMAS B FALLOON MD (NPI 1902897051) is an individual neurological surgery provider in Saint Cloud, Minnesota, licensed in Minnesota (42499) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Nebraska College Of Medicine (1994).

NPPES Registry Identity

NPI1902897051
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameTHOMAS B FALLOONCredential: MD
Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Fax(320) 240-2118
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1994
Enumeration DateOctober 28, 2005
Last NPPES UpdateNovember 28, 2011
NPI 1902897051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MN · 42499
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1200 6TH AVE N, Saint Cloud, MN 56303

Other Identifiers 12

Other1927405First Health Plan
Other480677800Medical Assistance
Other0600040Medica Health Plans
Medicare ID-Type Unspecified140000217
Other127844U Care
OtherCI1369Rr Medicare
Medicare UPINH16871
Other1023510Preferred One
Other85D65FABlue Cross Blue Shield
OtherHP30505Health Partners
Other140007661Rr Medicare
Other996067Araz Group Americas Ppo

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

Thomas B Falloon 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 ID4880604529
PECOS Enrollment IDI20060426000345
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 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
24 services12 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.
19 services18 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.
16 services16 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
15 services15 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Pediatrics
1200 6TH AVE N
SAINT CLOUD, MN 56303
Registered Nurse
1200 6TH AVE N
ST CLOUD, MN 56303
Internal Medicine (Rheumatology)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Physician Assistant (Medical)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner
1200 6TH AVE N
SAINT CLOUD, MN 56303
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner (Adult Health)
1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303
Internal Medicine
1200 6TH AVE N
SAINT CLOUD, MN 56303

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 Thomas Falloon's NPI number?

The NPI number for Thomas Falloon is 1902897051. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Thomas Falloon located?

Thomas Falloon practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Thomas Falloon's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Thomas Falloon enrolled in Medicare?

Yes. Thomas Falloon 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 Thomas Falloon accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Thomas Falloon 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 Thomas Falloon affiliated with any hospitals?

According to CMS data, Thomas Falloon is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Falloon was last updated on November 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.