Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Patrick J. Fallon , MD

Orthopaedic Surgery โ€ข Auburn, ME

Active NPI 1396740544 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

690 Minot Ave, Ste 1
Auburn, ME 042103922

Call 2077831328 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

690 Minot Ave
Ste 1

Auburn, ME 042103922

Telephone 2077831328
Fax 2077950260
Organization at the Same NPPES Address or Phone
Central Maine Orthopaedics, P.a. Facility NPI 1225050818

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: The Aroostook Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1987

Medicare patients

182 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $25,106 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $18,573 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

32 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$29 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $37.53 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

39 years (graduated 1987)

CMS Doctors and Clinicians data list 1987 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Fallon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Fallon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Auburn and Maine

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Orthopaedic Surgery in Maine (2024, 73 clinicians with data). Median for this group: 316. Middle half: 215 to 1,107.

Too few clinicians listed under Orthopaedic Surgery in Auburn have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Orthopaedic Surgery in Maine (2024, 73 clinicians with data). Median for this group: $41,367. Middle half: $18,738 to $87,577.

Too few clinicians listed under Orthopaedic Surgery in Auburn have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Orthopaedic Surgery in Maine (2024, 73 clinicians with data). Median for this group: $31,134. Middle half: $13,405 to $66,897.

Too few clinicians listed under Orthopaedic Surgery in Auburn have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Orthopaedic Surgery in Maine (2024, 62 clinicians with data). Median for this group: 71. Middle half: 35 to 179.

Too few clinicians listed under Orthopaedic Surgery in Auburn have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 90% of clinicians listed under Orthopaedic Surgery in Maine (2024, 62 clinicians with data). Median for this group: $288. Middle half: $113 to $797.

Too few clinicians listed under Orthopaedic Surgery in Auburn have Medicare Part D data for 2024 to compare.

16 active clinicians are listed under Orthopaedic Surgery with a practice address in Auburn, ME (165 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Auburn

0% of these 16 clinicians have the CMS telehealth indicator.

56.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $37.53.

Manufacturer Payment Nature Product Type Amount ($)
Stryker Corporation
Food and Beverage
In-kind items and services
ICONIX General $37.53

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint
177 120 $150.84 $47.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
158 100 $106.51 $34.20
73030 X-ray of shoulder, minimum of 2 views
76 60 $38.52 $9.26
73562 X-ray of knee, 3 views
55 48 $34.40 $10.04
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
53 48 $199.03 $64.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $245.13 $78.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 24 $292.50 $94.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $400.29 $129.29

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 32 32 $28.70 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES ME 013805

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Dmerc
0378600001
Other Identifier Usps Wc
100294000
Other Identifier Aetna
1044480
Other Identifier Travelers/core/mednet
010416156
Other Identifier Mainecare
314430099 (ME)
Other Identifier Rr Medicare
200044523
Other Identifier Medicare Asc Facility
201017
Other Identifier Medicare Clinic Facility
MM0716
Other Identifier Anthem
043465
Other Identifier New Medicare Ptan
MM583301

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20050728000937

Enrollment State Jurisdiction

ME

PECOS Control ID

1052349305

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Aroostook Medical Center

140 Academy St, Presque Isle, ME 047693102

Phone: 2077643734

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Dr. Lauren Adey , MD

Orthopaedic Surgery - Hand Surgery

NPI 1952391609

Doctor of Medicine (M.D.)

Dr. Eric Benson , MD

Orthopaedic Surgery

NPI 1790824795

Doctor of Medicine (M.D.)

Dr. David Brown , MD

Orthopaedic Surgery

NPI 1477558278

Doctor of Medicine (M.D.)

Dr. Paul Cain , MD

Orthopaedic Surgery

NPI 1861497083

Doctor of Medicine (M.D.)

Dr. Stephen Clark , MD

Orthopaedic Surgery

NPI 1508276445

Doctor of Medicine (M.D.)

Dr. Michael Defrance , DO

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1831547819

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated June 15, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1396740544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: October 07, 2011
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Auburn

All Orthopaedic Surgery Specialists in Auburn

Mailing Address

690 Minot Ave, Ste 1

Auburn, ME 042103922

Phone: 2077831328

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.