Active NPI 1902897051 Individual Practitioner Male Practitioner

Dr. Thomas B Falloon , MD

Neurological Surgery • Saint Cloud, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Falloon, MD is a certified Neurological Surgery practicing in Saint Cloud, MN. With approximately 32 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 1994, Dr. Falloon delivers high-quality medical care to the local community at 1200 6TH AVE N.

Dr. Falloon is affiliated with Centracare Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, partial removal of spine bone with release of spinal cord and/or nerves, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 6th Ave N

Saint Cloud, MN 563032735

Telephone 3202525131

Fax 3202402118

Associated Practice Facility / Clinic

🏢 Centracare Clinic Facility NPI 1538696323

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Saint Cloud, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +5.3 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Saint Cloud, MN (178 Statewide)

Telehealth Adoption Rate

66.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Falloon (32 Years) 32 Yrs

Saint Cloud Specialty Average (26.7 Years) 26.7 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$345.49	$107.29
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	12	$760.46	$181.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$389.64	$124.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$510.23	$160.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$3893.15	$928.59
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$278.58	$88.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$479.34	$160.98
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$264.65	$86.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$324.04	$108.21
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$3703.56	$983.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$367.09	$124.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$463.94	$163.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$352.87	$126.26
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	16	$726.66	$190.37
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$3623.00	$969.16
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$250.32	$89.18
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	13	$829.00	$232.99
61783 Computer-assisted spinal procedure	12	12	$771.00	$206.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$470.25	$165.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$313.98	$126.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	11	$829.00	$237.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$3623.00	$868.39
61783 Computer-assisted spinal procedure	11	11	$771.00	$210.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$209.45	$74.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$308.75	$104.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$467.03	$156.46
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	12	$828.33	$230.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	14	$111.33	$38.54
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$3623.00	$861.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$391.42	$135.02
61783 Computer-assisted spinal procedure	12	12	$771.00	$196.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$198.28	$72.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$447.48	$162.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$107.83	$38.65
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	12	$822.22	$243.10
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3584.21	$959.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$291.23	$90.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$294.61	$107.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$429.52	$158.43
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$190.63	$71.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$422.29	$159.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$274.83	$105.59

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License MN 42499

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare

140007661

Commercial Insurance / Payer ID Araz Group Americas Ppo

996067

Commercial Insurance / Payer ID Blue Cross Blue Shield

85D65FA

Commercial Insurance / Payer ID Medica Health Plans

0600040

Commercial Insurance / Payer ID First Health Plan

1927405

Commercial Insurance / Payer ID U Care

127844

Commercial Insurance / Payer ID Preferred One

1023510

Commercial Insurance / Payer ID Medical Assistance

480677800

Commercial Insurance / Payer ID Rr Medicare

CI1369

Commercial Insurance / Payer ID Health Partners

HP30505

Hospital & Practice Group Affiliations

Centracare Clinic

1406 6th Ave No, St Cloud, MN 563031901

Centracare Clinic

1406 6th Ave N, St Cloud, MN 563031901

Centracare Clinic

1200 6th N Ave, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th Ave N, St Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Phone: 3202525131

Practice Associates & Co-Workers

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

40 Associated Practitioners

Tracy Cousin , CNP

Nurse Practitioner - Neonatal

NPI 1003891144

Certified Nurse Practitioner

Dr. Bharath Manu Akkara Veetil , MBBS

Internal Medicine - Rheumatology

NPI 1023174323

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Viorel Gheorghe , MD

Internal Medicine

NPI 1033127287

Doctor of Medicine (M.D.)

Ashley Eisenschenk , FNP

Nurse Practitioner

NPI 1033695101

Family Nurse Practitioner

Jessica Hollenkamp , CNP

Nurse Practitioner

NPI 1043761190

Certified Nurse Practitioner

Dr. Christina Anderson , MD

Dermatology

NPI 1053313692

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 November 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2011

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032735 (Tel: 3202525131)

📍

Updated Business Mailing Address November 28, 2011

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032735 (Tel: 3202525131)

👤

Provider Name / Credentials Updated November 28, 2011

Recorded as THOMAS FALLOON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2011

Neurological Surgery (License #42499 in MN)

🟢

Initial NPI Registration & Enumeration October 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Falloon. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902897051

Entity Type:

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

Enumeration Date: October 28, 2005

Last Update: November 28, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 6th Ave N

Saint Cloud, MN 563032735

Phone: 3202525131

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.