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Ryan Patrick Fallon , OT

Occupational Therapist • Clio, MI

Active NPI 1497296313 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4282 W Vienna Rd
Clio, MI 484209454

Call 8105642400 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

4282 W Vienna Rd

Clio, MI 484209454

Telephone 8105642400
Fax 8105649994
Organization at the Same NPPES Address or Phone
Family Orthopedic Associates P L C Facility NPI 1881969343

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: Family Orthopedic Associates P L C. 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

2016

Medicare patients

50 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 – by Provider, 2024.

Medicare-allowed amount

About $26,589 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 – by Provider and Service, 2024.

Paid by Medicare

About $20,455 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 – by Provider and Service, 2024.

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 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

2017

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, “Does your provider accept Medicare as full payment?”

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)

Ryan 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 Clio and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Occupational Therapist in Michigan (2024, 224 clinicians with data). Median for this group: 741. Middle half: 318 to 1,308.

Too few clinicians listed under Occupational Therapist in Clio 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 Michigan (2024, 224 clinicians with data). Median for this group: $19,839. Middle half: $8,569 to $32,414.

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

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Occupational Therapist in Michigan (2024, 224 clinicians with data). Median for this group: $15,500. Middle half: $6,660 to $25,473.

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

4 active clinicians are listed under Occupational Therapist with a practice address in Clio, MI (5,277 in Michigan).

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

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 · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
842 50 $80.00 $22.53
97530 Therapy procedure using functional activities
116 26 $85.00 $32.87
97165 Evaluation for occupational therapy, typically 30 minutes
27 26 $145.00 $95.29
97166 Evaluation for occupational therapy, typically 45 minutes
13 12 $155.00 $94.86

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: 2023-10-30
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES MI 5201009713

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1497296313 (MI)

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

I20170331001338

Enrollment State Jurisdiction

MI

PECOS Control ID

5890070916

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

Family Orthopedic Associates P L C

4466 W Bristol Rd, Flint, MI 485073170

Phone: 8107331200

Clinicians Sharing This Practice Address or Phone

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

2 listed
Deron Lewis , MPT

Physical Therapist

NPI 1770541393

Master of Physical Therapy

Dr. Jacob Schumer , DPT

Physical Therapist

NPI 1922509587

Doctor of Physical Therapy

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 30, 2023

Registered at 4282 W VIENNA RD, CLIO, MI 484209454 (Tel: 8105642400)

âś…
NPI Profile Active June 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2017

Registered at 4466 W BRISTOL RD, FLINT, MI 485073170 (Tel: 8107331200)

📍
Updated Business Mailing Address June 16, 2017

Registered at 4466 W BRISTOL RD, FLINT, MI 485073170 (Tel: 8107331200)

👤
Provider Name / Credentials Updated June 16, 2017

Recorded as RYAN FALLON, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2017

Occupational Therapist (license number reported to NPPES: MI 5201009713)

âś…
NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 10, 2017

Registered at 4466 W BRISTOL RD, FLINT, MI 485073170 (Tel: 8107331200)

📍
Business Mailing Address (Initial Record) March 10, 2017

Registered at 4466 W BRISTOL RD, FLINT, MI 485073170 (Tel: 8107331200)

👤
Provider Name / Credentials (Initial Record) March 10, 2017

Recorded as RYAN FALLON, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Occupational Therapist (license number reported to NPPES: MI 5201009713)

🟢
Initial NPI Registration & Enumeration March 10, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497296313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2017
Last Update: October 30, 2023
Sole Proprietor: No

Mailing Address

4466 W Bristol Rd

Flint, MI 485073170

Phone: 8107331200

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.