Active NPI 1386962546 Individual Practitioner Male Practitioner

Dr. John Michael Fallon , MD

Surgery • Portland, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Fallon, MD is a certified Surgery practicing in Portland, ME. With approximately 16 years of clinical experience since graduating from University Of Massachusetts Medical School in 2010, Dr. Fallon delivers high-quality medical care to the local community at 818 CONGRESS ST DEPT OF.

Dr. Fallon is affiliated with Mainehealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

818 Congress St Dept Of

Portland, ME 041023112

Telephone 2077738161

Associated Practice Facility / Clinic

🏢 Maine Heart Surgical Associates Facility NPI 1609949908

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Portland, ME

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -7.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

49 Specialists

Practicing in Portland, ME (246 Statewide)

Telehealth Adoption Rate

20.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fallon (16 Years) 16 Yrs

Portland Specialty Average (23.3 Years) 23.3 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
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$381.52	$173.43
33533 Coronary artery bypass using artery graft, 1 graft	21	21	$4343.00	$1510.49
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	19	19	$38.47	$14.60
33361 Replacement of aortic valve through the skin and femoral artery	12	12	$2996.00	$688.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	26	25	$39.46	$15.15
33533 Coronary artery bypass using artery graft, 1 graft	25	25	$4478.80	$1661.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$353.88	$178.34
33517 Combined vein and artery heart artery bypass	11	11	$448.00	$175.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	22	22	$4452.00	$1686.45
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	22	22	$39.00	$15.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$461.00	$194.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$359.76	$181.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	17	$90.00	$38.14
33518 Coronary artery bypass using vein or artery graft, 2 grafts	12	12	$983.00	$395.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	37	37	$4186.31	$1666.23
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	34	34	$37.46	$14.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$356.60	$182.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$449.70	$196.72
33518 Coronary artery bypass using vein or artery graft, 2 grafts	16	16	$963.06	$396.85

Medical Specialties & State Licenses

CMS Verified: 2020-08-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME 23984

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.

Hospital & Practice Group Affiliations

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2077063280

Practice Associates & Co-Workers

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

40 Associated Practitioners

Patricia Wieler , NP

Nurse Practitioner - Acute Care

NPI 1003366709

Nurse Practitioner

Addison Landry , PA-C

Physician Assistant

NPI 1003548561