Dr. Patrick J. Fallon, MD

  • Presque Isle, ME
  • Orthopedic surgeon
NPI1396740544PAC ID1052349305
Medicare services, 2024
586
Medicare patients, 2024
182
Part D claims, 2024
43
MIPS score, 2024
85
Hospital affiliations
3
Practice address
PO Box 151, Presque Isle, ME 04769
Practice phone
Call (207) 768-4000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Northern Light AR Gould Hospital

Hospital · Presque Isle, Maine

See all 8 affiliations

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Dr. Patrick J. Fallon is an orthopedic surgeon in Presque Isle, Maine

Dr. Fallon practices at Northern Light AR Gould Hospital in Presque Isle, Maine, part of Northern Light Health.

Dr. Fallon's NPI, 1396740544, was assigned on June 15, 2005. Dr. Fallon holds Maine license 013805.

NPI and contact details
Medicare PAC ID
1052349305
NPI enumeration date
June 15, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(207) 768-4000
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
65
Medical school graduation
1987

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Patrick J. Fallon practices at 2 locations in Presque Isle, Maine

Dr. Fallon's primary practice is Northern Light AR Gould Hospital, at PO Box 151, Presque Isle, ME 04769 in Aroostook County. The practice phone is (207) 768-4000. Dr. Fallon also practices at Northern Light AR Gould Hospital, 140 Academy St, Presque Isle, ME 04769.

  • Northern Light AR Gould HospitalPrimary
    PO Box 151, Presque Isle, ME 04769 · Aroostook CountyPhone(207) 768-4000
  • Northern Light AR Gould Hospital
    140 Academy St, Presque Isle, ME 04769 · Aroostook CountyPhone(207) 768-4000

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data

Dr. Patrick J. Fallon is affiliated with 4 sites of care and 4 medical groups

Dr. Fallon's primary practice is Northern Light AR Gould Hospital in Presque Isle, Maine, part of Northern Light Health. Dr. Fallon is also affiliated with Houlton Regional Hospital. The medical group on file is Northern Light AR Gould Hospital. Dmand AI also links Dr. Fallon to 1 more hospital, 3 medical groups and 1 home health agency, each named with a free account. Dr. Fallon's employer is on file too: a hospital.

See all 8 affiliations for Dr. Fallon

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Patrick J. Fallon's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Fallon practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Northern Light AR Gould HospitalAvailable with a free account
+3 more sites and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Patrick J. Fallon is one of 128 orthopedic surgeons in Maine

Orthopaedic surgery is Dr. Fallon's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Fallon is licensed in Maine.

Specialties and state licenses

  • Orthopaedic surgery, MainePrimaryLicense 013805 · taxonomy 207X00000X

Orthopedic surgeons near Dr. Fallon

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Patrick J. Fallon billed Medicare for 586 services in 2024

CMS data shows 586 Medicare services from Dr. Fallon across 8 procedure codes in 2024, for 182 Medicare patients. Medicare paid $18,573 for them. Every service was in an office.

Medicare services, 2024586
Medicare patients182
Paid by Medicare$18,573
Procedure codes8

Dr. Fallon's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 3742024: 27826%
Surgery
2023: 2572024: 17731%
Imaging
2023: 2222024: 13141%

Dr. Fallon compared with the Maine median for orthopedic surgeons, 2024

  • Dr. Fallon
  • Maine median
Medicare services
586vs 2462.4 times
Medicare patients
182vs 15121% above
Part D claims
32vs 3714% below

Medians across 127 orthopedic surgeons in Maine with Dmand AI profiles that report each measure.

Dr. Fallon's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Fallon

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Patrick J. Fallon treated 182 Medicare patients in 2024, average age 74

CMS counts 182 Medicare patients who saw Dr. Fallon in 2024. The largest group is 65 to 74, with 65 patients. 75% of them have arthritis, and 74% have high cholesterol. 39% are also on Medicaid. Their average risk score is 1.27, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Fallon's median patient age at 65, with 53% women.

Medicare patients, 2024182
Average age74
Average risk score1.27
Also on Medicaid39%

Dr. Fallon's Medicare patients by age, 2024

Dr. Fallon's Medicare patients by sex, 2024

  • Women11463%
  • Men6837%

Chronic conditions among Dr. Fallon's Medicare patients, 2024

  1. Arthritis75%
  2. High cholesterol74%
  3. High blood pressure70%
  4. Diabetes32%
  5. Anxiety29%
  6. Mood disorders26%
  7. Chronic kidney disease25%
  8. Ischemic heart disease24%

Share of Medicare patients with each condition. A patient can have several.

Dr. Fallon's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 65

Patient panel by sex, all payers

  • Women53%
  • Men47%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Patrick J. Fallon wrote 43 Medicare Part D claims in 2024

In 2024, Dr. Fallon wrote 43 Medicare Part D claims for 23 patients. 100% of them were for generic drugs. CMS names the drug for 32 of them, across 1 drug with 11 or more claims each, at $29 in total drug cost. In 2023, CMS named 55 claims across 2 drugs.

Part D claims, 202443
Drugs named by CMS1
Total drug cost$29
Part D patients23

Dr. Fallon's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Fallon's Part D claims, 2024

  • Antibiotics77%33 of 43 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 552024: 3242%

Drugs named by CMS: 1 in 2024, 2 in 2023.

See all prescribing by Dr. Fallon

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Patrick J. Fallon scored 85 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Dr. Fallon for performance year 2024, reported as part of a group. Dr. Fallon accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 16 procedures of knee replacement by Dr. Fallon, more than 47% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Fallon's MIPS scores, performance year 2024

  • 85of 100Final score
  • 60of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Fallon ranks in Medicare procedure volume

Knee replacement
47th percentile16 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Upper limb (arm) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Patrick J. Fallon received $1,409 in industry payments from 2016 to 2024

CMS Open Payments shows 26 general payments to Dr. Fallon from 5 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 68% of the total. Medacta USA, Inc. paid the most, $1,038.

General payments to Dr. Fallon by program year, 2016 to 2024

General payments to Dr. Fallon by kind, 2016 to 2024

$1.4Kin total
  • Food and beverage$95968%
  • Travel and lodging$45032%

Companies that paid Dr. Fallon the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Fallon

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Dr. Patrick J. Fallon's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Patrick J. Fallon

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Patrick J. Fallon's NPI number?

Dr. Patrick J. Fallon's NPI number is 1396740544. It was assigned on June 15, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Patrick J. Fallon?

Dr. Patrick J. Fallon is an orthopedic surgeon in Presque Isle, Maine. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Patrick J. Fallon practice?

Dr. Fallon practices at PO Box 151, Presque Isle, ME 04769. Dr. Fallon also practices at 140 Academy St, Presque Isle, ME 04769. Dr. Fallon's primary practice is Northern Light AR Gould Hospital in Presque Isle, Maine, part of Northern Light Health. Dmand AI also links Dr. Fallon to 1 hospital, 3 medical groups and 1 home health agency.

What is Dr. Patrick J. Fallon's office phone number?

The practice phone on file for Dr. Fallon is (207) 768-4000.

What is Dr. Patrick J. Fallon's medical license number?

Dr. Fallon holds Maine license 013805.

Which hospitals is Dr. Patrick J. Fallon affiliated with?

Dr. Fallon practices at Northern Light AR Gould Hospital in Presque Isle, Maine. Dr. Fallon is also affiliated with Houlton Regional Hospital. Dmand AI links Dr. Fallon to 1 more hospital.

What medical group is Dr. Patrick J. Fallon part of?

Dr. Fallon is linked to Northern Light AR Gould Hospital. Dmand AI links Dr. Fallon to 3 more medical groups.

Does Dr. Patrick J. Fallon accept Medicare?

Yes. CMS data shows Dr. Fallon billed Medicare for 586 services in 2024, and Dr. Fallon accepts Medicare assignment.

What is Dr. Patrick J. Fallon's MIPS score?

Dr. Fallon's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.

How many Medicare patients does Dr. Patrick J. Fallon see?

CMS counts 182 Medicare patients who saw Dr. Fallon in 2024, with an average age of 74.

Show 4 more questionsShow fewer questions

What services does Dr. Patrick J. Fallon bill to Medicare?

In 2024, Dr. Fallon's most billed Medicare services were surgery: bones and joints (20610), office visit, established patient (99212) and diagnostic imaging (73030).

What drugs does Dr. Patrick J. Fallon prescribe most?

In 2024 Medicare Part D data, Dr. Fallon's most prescribed drugs by claims were Amoxicillin.

Has Dr. Patrick J. Fallon received payments from drug or device companies?

CMS Open Payments shows $1,409 in general payments to Dr. Fallon from 5 companies from 2016 to 2024. The largest total came from Medacta USA, Inc.

How long has Dr. Patrick J. Fallon been practicing?

Dr. Fallon graduated from medical school in 1987, 39 years ago.

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