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Casey Jean Fallon

Occupational Therapist โ€ข Amesbury, MA

Active NPI 1669157772 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

110 Haverhill Rd Ste 292
Amesbury, MA 019132119

Call 9788346392 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

110 Haverhill Rd Ste 292

Amesbury, MA 019132119

Telephone 9788346392
Organization at the Same NPPES Address or Phone
Proex Physical Therapy, Llc Facility NPI 1053173062

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: Proex Physical Therapy Llc. 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

2011

Medicare patients

42 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 $45,549 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 $34,906 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.

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 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

2023

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)

Casey 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

Compared with the same specialty in Amesbury and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Occupational Therapist in Massachusetts (2024, 166 clinicians with data). Median for this group: 1,054. Middle half: 530 to 2,064.

Too few clinicians listed under Occupational Therapist in Amesbury have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Occupational Therapist in Massachusetts (2024, 166 clinicians with data). Median for this group: $31,589. Middle half: $16,239 to $56,621.

Too few clinicians listed under Occupational Therapist in Amesbury have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Occupational Therapist in Massachusetts (2024, 166 clinicians with data). Median for this group: $24,286. Middle half: $12,646 to $44,755.

Too few clinicians listed under Occupational Therapist in Amesbury have Medicare Part B data for 2024 to compare.

81 active clinicians are listed under Occupational Therapist with a practice address in Amesbury, MA (3,589 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Amesbury

0% of these 81 clinicians have the CMS telehealth indicator.

6.2% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (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.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 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, 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
97140 Therapy procedure using manual technique, each 15 minutes
508 40 $180.74 $20.81
97530 Therapy procedure using functional activities
448 38 $187.54 $35.28
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
218 29 $176.37 $22.30
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
187 25 $191.73 $25.91
97150 Therapy procedure in a group setting
131 16 $163.59 $14.09
97022 Application of whirlpool therapy
128 19 $50.00 $11.43
97535 Training for self-care or home management, each 15 minutes
66 30 $176.67 $25.16
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes
41 13 $127.00 $44.44
97166 Evaluation for occupational therapy, typically 45 minutes
14 14 $240.00 $102.84
97165 Evaluation for occupational therapy, typically 30 minutes
12 11 $269.17 $102.88

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-09
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES MA 10464

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

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: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20240122003292

Enrollment State Jurisdiction

NH

PECOS Control ID

0749649267

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

Proex Physical Therapy Llc

325 Lafayette Rd, Seabrook, NH 038744561

Phone: 9785724220

Proex Physical Therapy Llc

110 Haverhill Rd, Amesbury, MA 019132119

Phone: 9788346392

Clinicians Sharing This Practice Address or Phone

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

9 listed
Anthony Addario

Physical Therapist

NPI 1619611589
Morgan Beauregard

Physical Therapist

NPI 1689454555
Carolyn Caisse

Physical Therapist

NPI 1083281992
Nicholas Gott

Physical Therapist

NPI 1407695471
Sierra Loreti

Physical Therapist

NPI 1437871563
Zachary Martin

Physical Therapist

NPI 1659927804

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ‘ค
Provider Name / Credentials Updated August 09, 2023

Recorded as CASEY FALLON

โœ…
NPI Profile Active June 16, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 16, 2023

Registered at 110 HAVERHILL RD STE 292, AMESBURY, MA 019132119 (Tel: 9788346392)

๐Ÿ“
Business Mailing Address (Initial Record) June 16, 2023

Registered at 576 BROADHOLLOW RD, MELVILLE, NY 117475002

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 16, 2023

Recorded as CASEY HOATSON

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2023

Occupational Therapist (license number reported to NPPES: MA 10464)

๐ŸŸข
Initial NPI Registration & Enumeration June 16, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669157772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2023
Last Update: August 09, 2023
Sole Proprietor: Yes

Other Occupational Therapists in Amesbury

All Occupational Therapists in Amesbury

Mailing Address

576 Broadhollow Rd

Melville, NY 117475002

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.