Active NPI 1396740544 Individual Practitioner Male Practitioner

Dr. Patrick J. Fallon , MD

Orthopaedic Surgery • Auburn, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Fallon, MD is a certified Orthopaedic Surgery practicing in Auburn, ME. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Fallon delivers high-quality medical care to the local community at 690 MINOT AVE.

Dr. Fallon is affiliated with The Aroostook Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

690 Minot Ave
Ste 1

Auburn, ME 042103922

Telephone 2077831328

Fax 2077950260

Associated Practice Facility / Clinic

🏢 Central Maine Orthopaedics, P.a. Facility NPI 1225050818

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Auburn, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +16.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

18 Specialists

Practicing in Auburn, ME (176 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fallon (39 Years) 39 Yrs

Auburn Specialty Average (22.1 Years) 22.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	177	120	$150.84	$47.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	100	$106.51	$34.20
73030 X-ray of shoulder, minimum of 2 views	76	60	$38.52	$9.26
73562 X-ray of knee, 3 views	55	48	$34.40	$10.04
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$199.03	$64.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$245.13	$78.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$292.50	$94.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$400.29	$129.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	257	161	$140.95	$46.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	113	$102.66	$34.01
73030 X-ray of shoulder, minimum of 2 views	114	77	$26.86	$9.64
73562 X-ray of knee, 3 views	95	82	$28.33	$10.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$237.35	$78.99
99213 Established patient office or other outpatient visit, typically 15 minutes	51	50	$193.83	$63.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$383.07	$127.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$288.49	$93.51
73560 X-ray of knee, 1-2 views	13	13	$23.48	$7.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	155	113	$132.34	$46.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	64	$98.83	$34.84
73562 X-ray of knee, 3 views	83	70	$30.23	$10.68
73030 X-ray of shoulder, minimum of 2 views	66	54	$24.50	$8.97
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$185.86	$63.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$366.50	$128.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$225.26	$80.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$281.41	$94.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	148	106	$188.81	$58.42
J1030 Injection, methylprednisolone acetate, 40 mg	100	57	$39.00	$5.77
73562 X-ray of knee, 3 views	71	52	$154.03	$16.44
73030 X-ray of shoulder, minimum of 2 views	55	51	$122.83	$16.02
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$166.62	$79.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$87.99	$42.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$357.41	$145.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$224.86	$93.08
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$499.35	$167.65
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2951.99	$1029.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	259	138	$185.90	$65.54
J1030 Injection, methylprednisolone acetate, 40 mg	207	119	$12.00	$6.06
73562 X-ray of knee, 3 views	120	95	$107.24	$43.87
99213 Established patient office or other outpatient visit, typically 15 minutes	109	85	$187.74	$72.39
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	98	28	$217.00	$143.16
73030 X-ray of shoulder, minimum of 2 views	64	46	$77.88	$33.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$269.03	$103.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$272.31	$105.37
20610 Aspiration and/or injection of fluid from large joint	20	15	$171.40	$44.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$113.88	$43.48
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$187.68	$50.48
27447 Replacement of knee joint, both sides of knee	12	11	$3401.32	$1328.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	449	212	$154.39	$54.30
J1030 Injection, methylprednisolone acetate, 40 mg	339	194	$12.11	$6.25
73562 X-ray of knee, 3 views	199	150	$100.20	$40.06
99213 Established patient office or other outpatient visit, typically 15 minutes	163	135	$181.88	$70.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	139	$268.22	$103.80
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	117	31	$222.56	$141.44
73030 X-ray of shoulder, minimum of 2 views	72	60	$75.25	$29.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$268.00	$103.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	46	$108.36	$43.09
20610 Aspiration and/or injection of fluid from large joint	33	22	$180.00	$42.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$105.00	$24.84
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$175.00	$49.81
27447 Replacement of knee joint, both sides of knee	12	12	$3972.00	$1316.05
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2766.00	$933.33
29881 Removal of knee cartilage using an endoscope	11	11	$1632.00	$464.33
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$3970.00	$171.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	406	212	$163.66	$51.85
J1030 Injection, methylprednisolone acetate, 40 mg	331	194	$12.00	$6.67
73562 X-ray of knee, 3 views	231	149	$100.83	$35.67
99213 Established patient office or other outpatient visit, typically 15 minutes	128	111	$178.55	$66.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$264.65	$98.16
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	90	28	$223.72	$144.15
73030 X-ray of shoulder, minimum of 2 views	89	70	$82.10	$29.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	67	$106.13	$39.62
20610 Aspiration and/or injection of fluid from large joint	81	42	$166.67	$39.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	40	$264.68	$99.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	25	$105.17	$23.74
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	16	$3970.00	$164.28
27447 Replacement of knee joint, both sides of knee	17	17	$3972.00	$1260.35
29827 Repair of shoulder rotator cuff using an endoscope	14	13	$2766.00	$960.35
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$175.00	$47.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$260.00	$71.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	431	202	$198.82	$51.85
J1030 Injection, methylprednisolone acetate, 40 mg	327	183	$12.00	$5.75
73562 X-ray of knee, 3 views	205	140	$108.16	$38.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$260.00	$101.52
99213 Established patient office or other outpatient visit, typically 15 minutes	130	104	$175.00	$69.17
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	106	28	$338.00	$148.88
20610 Aspiration and/or injection of fluid from large joint	99	56	$194.95	$40.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	70	$105.00	$40.64
73030 X-ray of shoulder, minimum of 2 views	62	47	$83.03	$28.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	43	$105.00	$24.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$260.00	$101.82
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	25	25	$3970.00	$168.67
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$175.00	$48.98
27447 Replacement of knee joint, both sides of knee	23	21	$3972.00	$1220.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$260.00	$73.25
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$2766.00	$1006.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$350.00	$155.41
29881 Removal of knee cartilage using an endoscope	17	17	$1746.59	$512.85
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$180.00	$48.34

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ME 013805

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dmerc

0378600001

Commercial Insurance / Payer ID Usps Wc

100294000

Commercial Insurance / Payer ID Aetna

1044480

Commercial Insurance / Payer ID Travelers/core/mednet

010416156

Commercial Insurance / Payer ID Mainecare

314430099 (ME)

Commercial Insurance / Payer ID Rr Medicare

200044523

Commercial Insurance / Payer ID Medicare Asc Facility

201017

Commercial Insurance / Payer ID Medicare Clinic Facility

MM0716

Commercial Insurance / Payer ID Anthem

043465

Commercial Insurance / Payer ID New Medicare Ptan

MM583301

Hospital & Practice Group Affiliations

The Aroostook Medical Center

140 Academy St, Presque Isle, ME 047693102

Phone: 2077643734

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners

Brittney Massey-Labbe

Physician Assistant

NPI 1043996671

Dr. Saad Mohammad , DO

Orthopaedic Surgery

NPI 1053807933

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Mclaughlin , MD

Physical Medicine & Rehabilitation

NPI 1063412211

Doctor of Medicine (M.D.)

Dr. Donald Booth , MD

Orthopaedic Surgery

NPI 1104821321

Doctor of Medicine (M.D.)

Brittany Hough , PA-C

Physician Assistant

NPI 1164728135

Physician Assistant (Certified)

Dr. Ian Engler , MD

Orthopaedic Surgery - Sports Medicine

NPI 1225485808

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2011

Registered at 690 MINOT AVE, STE 1, AUBURN, ME 042103922 (Tel: 2077831328)

📍

Updated Business Mailing Address October 07, 2011

Registered at 690 MINOT AVE, STE 1, AUBURN, ME 042103922 (Tel: 2077831328)

👤

Provider Name / Credentials Updated October 07, 2011

Recorded as PATRICK FALLON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2011

Orthopaedic Surgery (License #013805 in ME)

🟢

Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396740544

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2005

Last Update: October 07, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

690 Minot Ave, Ste 1

Auburn, ME 042103922

Phone: 2077831328

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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