Active NPI 1699789719 Individual Practitioner Male Practitioner

Dr. Mark J Fallen , MD

Urology • Edina, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Fallen, MD is a certified Urology practicing in Edina, MN. With approximately 40 years of clinical experience since graduating from Rush Medical College Of Rush University in 1986, Dr. Fallen delivers high-quality medical care to the local community at 6525 FRANCE AVE S.

Dr. Fallen is affiliated with Allina Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6525 France Ave S
Suite 200

Edina, MN 554352148

Telephone 9529276501

Fax 9526531435

Associated Practice Facility / Clinic

🏢 Paul Larson Ob Gyn Clinic Pa Facility NPI 1770547317

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Edina, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +14.9 yrs vs City Avg

City Avg: 25.1 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

28 Specialists

Practicing in Edina, MN (299 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fallen (40 Years) 40 Yrs

Edina Specialty Average (25.1 Years) 25.1 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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,200	12	$1.65	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	200	$420.54	$123.81
36415 Insertion of needle into vein for collection of blood sample	227	166	$15.04	$8.54
99213 Established patient office or other outpatient visit, typically 15 minutes	212	179	$296.38	$88.01
84153 Psa (prostate specific antigen) measurement, total	202	155	$96.89	$17.75
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	192	25	$931.13	$178.41
81002 Urinalysis, manual test	146	110	$22.00	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	145	117	$105.52	$11.16
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	122	107	$55.37	$15.69
52000 Diagnostic exam of bladder and urethra using an endoscope	108	94	$988.05	$235.85
81003 Automated urinalysis test	93	78	$9.50	$2.20
J0696 Injection, ceftriaxone sodium, per 250 mg	85	22	$22.00	$0.46
76872 Ultrasound scan of pelvic region through rectum	42	41	$623.00	$139.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$541.47	$154.34
87086 Bacterial colony count, urine	37	31	$56.85	$7.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$364.54	$107.96
51702 Simple insertion of temporary bladder tube	24	11	$300.47	$61.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	18	$127.00	$35.12
55700 Biopsy of prostate gland	22	22	$831.00	$224.44
99442 Telephone medical discussion with physician, 11-20 minutes	21	20	$301.00	$87.37
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	18	14	$43.29	$8.48
82565 Blood creatinine level	16	16	$28.70	$5.02
87088 Bacterial urine culture	13	11	$42.20	$7.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,300	12	$1.65	$0.15
36415 Insertion of needle into vein for collection of blood sample	214	154	$15.08	$8.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	150	$417.54	$124.87
99213 Established patient office or other outpatient visit, typically 15 minutes	199	162	$296.77	$88.31
84153 Psa (prostate specific antigen) measurement, total	192	144	$96.83	$17.83
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	180	20	$938.64	$170.35
81002 Urinalysis, manual test	163	112	$22.00	$3.37
51798 Ultrasound measurement of bladder capacity after voiding	120	108	$118.25	$10.75
52000 Diagnostic exam of bladder and urethra using an endoscope	81	70	$969.05	$242.95
81003 Automated urinalysis test	69	55	$9.50	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$541.00	$161.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$363.93	$109.78
87086 Bacterial colony count, urine	26	22	$62.75	$7.91
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	14	$127.00	$34.23
99442 Telephone medical discussion with physician, 11-20 minutes	22	20	$301.00	$81.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$578.24	$125.62
76872 Ultrasound scan of pelvic region through rectum	16	16	$623.00	$140.20
82565 Blood creatinine level	14	12	$29.00	$5.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,200	12	$1.65	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	174	$403.80	$127.07
99213 Established patient office or other outpatient visit, typically 15 minutes	193	168	$285.79	$89.05
36415 Insertion of needle into vein for collection of blood sample	187	156	$15.11	$2.92
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	186	25	$909.81	$176.17
84153 Psa (prostate specific antigen) measurement, total	170	145	$96.47	$17.93
81002 Urinalysis, manual test	155	103	$22.00	$3.38
51798 Ultrasound measurement of bladder capacity after voiding	148	127	$104.37	$10.55
81003 Automated urinalysis test	89	72	$9.00	$2.22
52000 Diagnostic exam of bladder and urethra using an endoscope	82	65	$938.00	$246.22
J0696 Injection, ceftriaxone sodium, per 250 mg	76	14	$22.00	$0.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$524.48	$160.19
87086 Bacterial colony count, urine	40	27	$63.75	$7.97
76872 Ultrasound scan of pelvic region through rectum	31	30	$618.61	$138.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$349.19	$109.95
99442 Telephone medical discussion with physician, 11-20 minutes	26	23	$292.54	$88.94
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	25	18	$45.04	$8.56
87088 Bacterial urine culture	24	16	$42.71	$8.00
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	17	$127.00	$33.49
82565 Blood creatinine level	14	14	$29.00	$5.05
74176 Ct scan of abdomen and pelvis without contrast	14	13	$342.00	$111.19
55700 Biopsy of prostate gland	12	12	$831.00	$242.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$558.22	$178.04
51741 Electronic assessment of bladder emptying	11	11	$275.00	$6.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,005	20	$1.65	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	222	188	$218.42	$91.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	157	$303.19	$129.88
81002 Urinalysis, manual test	183	120	$22.00	$3.46
36415 Insertion of needle into vein for collection of blood sample	175	147	$15.08	$2.99
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	174	18	$940.72	$178.96
84153 Psa (prostate specific antigen) measurement, total	151	127	$96.50	$18.39
51798 Ultrasound measurement of bladder capacity after voiding	148	124	$108.88	$10.46
52000 Diagnostic exam of bladder and urethra using an endoscope	88	74	$887.36	$238.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$456.70	$167.09
81003 Automated urinalysis test	71	61	$9.00	$2.25
J0696 Injection, ceftriaxone sodium, per 250 mg	68	17	$22.00	$0.51
87086 Bacterial colony count, urine	37	31	$64.38	$8.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$299.46	$111.92
76872 Ultrasound scan of pelvic region through rectum	32	31	$487.00	$140.45
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	17	$127.00	$33.31
99442 Telephone medical discussion with physician, 11-20 minutes	28	26	$81.00	$81.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	17	$1992.42	$155.59
82565 Blood creatinine level	19	19	$29.00	$5.12
74176 Ct scan of abdomen and pelvis without contrast	18	17	$342.00	$117.00
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	12	$46.00	$8.65
87088 Bacterial urine culture	17	12	$43.00	$8.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$148.00	$56.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$144.31	$37.74
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$813.00	$287.57
55700 Biopsy of prostate gland	11	11	$693.00	$239.51
74420 Imaging of urinary tract	11	11	$150.18	$24.98
51741 Electronic assessment of bladder emptying	11	11	$275.00	$9.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	154	$220.00	$75.18
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	137	19	$952.00	$222.04
36415 Insertion of needle into vein for collection of blood sample	114	93	$15.18	$2.98
81002 Urinalysis, manual test	107	82	$22.00	$3.45
84153 Psa (prostate specific antigen) measurement, total	104	89	$96.92	$18.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	69	$302.76	$109.18
52000 Diagnostic exam of bladder and urethra using an endoscope	52	45	$893.00	$215.42
99442 Telephone medical discussion with physician, 11-20 minutes	49	45	$81.00	$75.43
51798 Ultrasound measurement of bladder capacity after voiding	46	40	$141.46	$10.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$299.09	$107.60
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	20	$126.79	$32.19
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$207.96	$76.11
99443 Telephone medical discussion with physician, 21-30 minutes	25	23	$151.00	$105.15
87086 Bacterial colony count, urine	17	16	$66.00	$8.07
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$1313.22	$294.96
82565 Blood creatinine level	12	11	$28.77	$5.08
76872 Ultrasound scan of pelvic region through rectum	11	11	$487.00	$148.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,580	13	$1.65	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	388	283	$220.09	$73.79
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	234	25	$951.87	$224.37
81002 Urinalysis, manual test	216	172	$22.00	$3.39
36415 Insertion of needle into vein for collection of blood sample	170	127	$15.40	$2.92
84153 Psa (prostate specific antigen) measurement, total	158	120	$96.80	$19.90
51798 Ultrasound measurement of bladder capacity after voiding	134	123	$142.40	$12.84
52000 Diagnostic exam of bladder and urethra using an endoscope	91	81	$893.04	$191.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$299.08	$107.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	61	$302.32	$108.27
51702 Simple insertion of temporary bladder tube	58	12	$334.40	$62.59
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	49	25	$126.50	$31.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$176.97	$45.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$131.83	$38.63
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$207.90	$75.92
76872 Ultrasound scan of pelvic region through rectum	21	20	$487.01	$124.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$461.00	$134.30
82565 Blood creatinine level	13	11	$28.60	$5.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$269.20	$71.59
74176 Ct scan of abdomen and pelvis without contrast	12	12	$1100.00	$114.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$1313.40	$270.44
55700 Biopsy of prostate gland	11	11	$693.00	$251.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	158	$200.71	$69.43
81002 Urinalysis, manual test	126	101	$20.00	$3.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	100	13	$745.30	$215.59
51798 Ultrasound measurement of bladder capacity after voiding	93	80	$113.86	$15.34
36415 Insertion of needle into vein for collection of blood sample	90	73	$13.29	$2.92
84153 Psa (prostate specific antigen) measurement, total	87	70	$81.45	$22.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	52	$275.00	$101.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$267.36	$101.82
52000 Diagnostic exam of bladder and urethra using an endoscope	43	38	$709.92	$159.04
J0696 Injection, ceftriaxone sodium, per 250 mg	41	11	$10.00	$0.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$160.00	$41.81
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	32	15	$110.63	$29.81
51702 Simple insertion of temporary bladder tube	32	12	$284.63	$61.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	20	$113.85	$36.89
76872 Ultrasound scan of pelvic region through rectum	16	13	$440.31	$94.39
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$185.00	$71.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	149	$200.00	$67.38
81002 Urinalysis, manual test	149	114	$20.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	110	82	$10.00	$2.90
84153 Psa (prostate specific antigen) measurement, total	107	79	$50.00	$24.50
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	103	11	$675.00	$207.74
51798 Ultrasound measurement of bladder capacity after voiding	102	89	$50.00	$18.39
J0696 Injection, ceftriaxone sodium, per 250 mg	72	18	$10.00	$0.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	57	$160.00	$41.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$250.53	$100.33
52000 Diagnostic exam of bladder and urethra using an endoscope	42	39	$475.00	$155.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$275.00	$100.45
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$175.95	$69.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	26	$118.06	$36.23
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	32	13	$80.00	$30.76
76872 Ultrasound scan of pelvic region through rectum	18	18	$400.00	$91.11
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$287.88	$94.24
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$400.00	$53.15
74176 Ct scan of abdomen and pelvis without contrast	14	13	$1000.00	$100.62
55700 Biopsy of prostate gland	14	14	$500.00	$217.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$267.00	$70.27

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MN 30919

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Allina Health System

303 Catlin St, Buffalo, MN 553131947

Phone: 6127756200

Allina Health System

800 E 28th St, Minneapolis, MN 554073723

Phone: 6128633110

Practice Associates & Co-Workers

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

28 Associated Practitioners

Maisy Sanneman , PA-C

Physician Assistant

NPI 1013105907

Physician Assistant (Certified)

Cassandra Farmer , PA-C

Physician Assistant

NPI 1023648235

Physician Assistant (Certified)

Dr. Thomas Rivers , MD

Urology

NPI 1033168018

Doctor of Medicine (M.D.)

Dr. Randolph Peterson , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1053380204

Doctor of Medicine (M.D.)

Dr. Andrew Bergersen , MD

Urology

NPI 1063899250

Doctor of Medicine (M.D.)

Maxine Gustafson , PA-C

Physician Assistant

NPI 1083127203

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2015

Registered at 6525 FRANCE AVE S, SUITE 200, EDINA, MN 554352148 (Tel: 9529276501)

📍

Updated Business Mailing Address November 10, 2015

Registered at 6525 FRANCE S AVE 200, EDINA, MN 554352176 (Tel: 9529276501)

👤

Provider Name / Credentials Updated November 10, 2015

Recorded as MARK FALLEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2015

Urology (License #30919 in MN)

🟢

Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699789719

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: November 10, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6525 France S Ave 200

Edina, MN 554352176

Phone: 9529276501

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.