Active NPI 1396955738 Individual Practitioner Male Practitioner

Dr. Jonathan M Fallon , DO, MS

Orthopaedic Surgery • West Hatfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Fallon, DO, MS is a certified Orthopaedic Surgery practicing in West Hatfield, MA. With approximately 23 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2003, Dr. Fallon delivers high-quality medical care to the local community at 4 WEST ST.

Dr. Fallon is affiliated with Mass General Brigham Medical Group Western Massachusetts Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, 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

4 West St

West Hatfield, MA 010889515

Telephone 4135868200

Fax 4135821460

Associated Practice Facility / Clinic

🏢 Hampshire Orthopedics & Sports Medicine, Inc. Facility NPI 1477593853

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in West Hatfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -4.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

7 Specialists

Practicing in West Hatfield, MA (746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fallon (23 Years) 23 Yrs

West Hatfield Specialty Average (27.5 Years) 27.5 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	633	44	$3.00	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	148	118	$215.68	$90.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	122	$307.22	$127.01
73030 X-ray of shoulder, minimum of 2 views	91	65	$85.05	$34.01
20610 Aspiration and/or injection of fluid from large joint	66	45	$233.58	$70.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$312.00	$128.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$398.86	$168.28
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$4267.00	$1435.60
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$511.00	$157.04
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$3154.00	$1002.82
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$1753.00	$154.09
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$3617.00	$1212.15
73502 X-ray of hip, 2-3 views	15	11	$114.80	$45.82
29828 Release of shoulder biceps tendon using an endoscope	12	12	$2707.00	$407.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	920	63	$3.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	191	147	$212.00	$90.68
73030 X-ray of shoulder, minimum of 2 views	97	68	$71.69	$28.80
20610 Aspiration and/or injection of fluid from large joint	88	64	$247.82	$75.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	65	$301.00	$129.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$390.00	$167.72
29823 Removal of extensive shoulder joint tissue using an endoscope	20	20	$1753.00	$149.79
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$511.00	$172.21
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$3154.00	$1089.34
23472 Prosthetic repair of shoulder joint, total shoulder	18	17	$4267.00	$1412.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$312.00	$131.05
29828 Release of shoulder biceps tendon using an endoscope	14	14	$2707.00	$450.93
73564 X-ray of knee, 4 or more views	14	11	$121.00	$49.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,569	102	$3.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	227	176	$208.51	$94.03
20610 Aspiration and/or injection of fluid from large joint	158	104	$240.32	$76.07
73030 X-ray of shoulder, minimum of 2 views	103	66	$70.57	$29.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	79	$294.89	$131.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$388.05	$173.37
73564 X-ray of knee, 4 or more views	41	27	$110.17	$46.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$311.72	$137.32
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$576.68	$177.12
29823 Removal of extensive shoulder joint tissue using an endoscope	19	19	$1719.00	$137.87
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$3070.24	$1110.08
29828 Release of shoulder biceps tendon using an endoscope	16	16	$2631.63	$493.49
23472 Prosthetic repair of shoulder joint, total shoulder	15	14	$4267.00	$1494.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,164	88	$3.00	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	240	187	$168.00	$94.71
73030 X-ray of shoulder, minimum of 2 views	132	83	$55.41	$29.43
20610 Aspiration and/or injection of fluid from large joint	127	90	$198.25	$74.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	92	$246.00	$134.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$372.00	$173.73
73564 X-ray of knee, 4 or more views	31	19	$75.81	$39.67
73502 X-ray of hip, 2-3 views	29	22	$81.10	$41.32
29823 Removal of extensive shoulder joint tissue using an endoscope	24	23	$1430.00	$140.85
23472 Prosthetic repair of shoulder joint, total shoulder	24	23	$3373.00	$1480.29
29827 Repair of shoulder rotator cuff using an endoscope	23	23	$2442.00	$1125.85
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$1135.00	$181.01
29828 Release of shoulder biceps tendon using an endoscope	18	18	$2104.00	$467.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$310.00	$139.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,300	86	$3.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	161	132	$151.86	$78.85
20610 Aspiration and/or injection of fluid from large joint	118	80	$219.25	$72.93
73030 X-ray of shoulder, minimum of 2 views	91	62	$56.40	$30.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	85	$224.49	$114.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$344.05	$170.96
73564 X-ray of knee, 4 or more views	34	22	$70.74	$35.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$279.93	$144.22
73502 X-ray of hip, 2-3 views	27	19	$62.41	$35.65
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$1071.00	$186.27
29823 Removal of extensive shoulder joint tissue using an endoscope	19	19	$1305.26	$222.07
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$2229.67	$1118.89
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$119.00	$78.75
27125 Partial replacement of thigh bone at hip joint with prosthesis	15	15	$2352.60	$1217.33
29828 Release of shoulder biceps tendon using an endoscope	15	15	$1898.60	$513.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,844	119	$3.00	$1.60
99213 Established patient office or other outpatient visit, typically 15 minutes	262	185	$145.00	$77.52
20610 Aspiration and/or injection of fluid from large joint	177	107	$221.74	$71.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$329.00	$171.43
73030 X-ray of shoulder, minimum of 2 views	134	95	$54.78	$27.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	102	$213.00	$113.65
73564 X-ray of knee, 4 or more views	50	37	$83.72	$40.49
73502 X-ray of hip, 2-3 views	46	32	$62.30	$35.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$269.00	$141.83
73040 Radiological supervision and interpretation X-ray of shoulder joint	29	15	$159.31	$84.93
73610 X-ray of ankle, minimum of 3 views	27	13	$61.33	$31.41
73562 X-ray of knee, 3 views	22	19	$67.36	$34.10
23350 Injection of dye for X-ray imaging of shoulder joint	13	11	$322.46	$165.91
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1055.00	$186.94
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2169.00	$1030.95
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$1272.00	$170.08
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$2944.00	$1550.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$216.00	$108.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,985	123	$3.00	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	252	183	$145.40	$75.62
20610 Aspiration and/or injection of fluid from large joint	192	114	$231.92	$73.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$329.00	$171.40
73030 X-ray of shoulder, minimum of 2 views	107	73	$51.81	$24.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	87	$213.00	$110.45
73564 X-ray of knee, 4 or more views	86	54	$76.97	$35.50
73502 X-ray of hip, 2-3 views	58	41	$56.60	$31.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$269.00	$141.88
73562 X-ray of knee, 3 views	29	20	$61.86	$30.07
73040 Radiological supervision and interpretation X-ray of shoulder joint	26	13	$135.38	$66.02
29823 Removal of extensive shoulder joint tissue using an endoscope	17	17	$1272.00	$144.80
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$2169.00	$1057.07
73560 X-ray of knee, 1-2 views	17	12	$57.35	$29.12
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1055.00	$177.39
23350 Injection of dye for X-ray imaging of shoulder joint	14	12	$280.71	$143.69
27447 Replacement of knee joint, both sides of knee	13	13	$3100.00	$1443.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,246	126	$3.01	$1.77
99213 Established patient office or other outpatient visit, typically 15 minutes	293	211	$145.00	$74.58
20610 Aspiration and/or injection of fluid from large joint	236	121	$233.42	$71.82
73030 X-ray of shoulder, minimum of 2 views	136	78	$45.94	$21.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$329.00	$167.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	83	$213.00	$107.68
73564 X-ray of knee, 4 or more views	73	44	$77.29	$35.41
73501 X-ray of hip with pelvis, 1 view	61	42	$39.20	$20.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$269.00	$139.74
73560 X-ray of knee, 1-2 views	30	14	$52.00	$26.96
73040 Radiological supervision and interpretation X-ray of shoulder joint	26	12	$169.04	$80.81
73562 X-ray of knee, 3 views	25	16	$59.28	$28.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$88.00	$45.31
73610 X-ray of ankle, minimum of 3 views	19	12	$48.11	$23.14
23350 Injection of dye for X-ray imaging of shoulder joint	19	12	$275.79	$140.93
73552 X-ray of thigh bone, minimum 2 views	18	11	$42.33	$23.41

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 235996

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

Medicaid State Provider ID

2155401 (MA)

Hospital & Practice Group Affiliations

Mass General Brigham Medical Group Western Massachusetts Inc

4 W St, West Hatfield, MA 010889562

Phone: 4135868200

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Catherine Spath , MD

Orthopaedic Surgery

NPI 1063491264

Doctor of Medicine (M.D.)

Dr. Daniel Mcbride , MD

Orthopaedic Surgery

NPI 1316926702

Doctor of Medicine (M.D.)

Dr. Jonathan Kurtis , MD

Orthopaedic Surgery

NPI 1376522623

Doctor of Medicine (M.D.)

Troy Chilson , PA-C

Physician Assistant

NPI 1376733956

Physician Assistant (Certified)

Dr. Henry Drinker , MD

Orthopaedic Surgery

NPI 1427037811

Doctor of Medicine (M.D.)

Dr. David Boardman , MD

Orthopaedic Surgery

NPI 1447366356

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 February 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2011

Registered at 4 WEST ST, WEST HATFIELD, MA 010889515 (Tel: 4135868200)

📍

Updated Business Mailing Address February 09, 2011

Registered at 4 WEST ST, WEST HATFIELD, MA 010889515 (Tel: 4135868200)

👤

Provider Name / Credentials Updated February 09, 2011

Recorded as JONATHAN FALLON, D.O., M.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2011

Orthopaedic Surgery (License #235996 in MA)

🟢

Initial NPI Registration & Enumeration May 23, 2007

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: 1396955738

Entity Type:

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

Enumeration Date: May 23, 2007

Last Update: February 09, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4 West St

West Hatfield, MA 010889515

Phone: 4135868200

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.