Timothy Fallon, MD
NPI 1205078854 · Emergency Medicine Physician · Portland, ME
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Fallon, MD is a Emergency Medicine Physician provider in Portland, ME (NPI 1205078854).
Provider details
- NPI number
- 1205078854
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
245 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 152 | $175 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 36 | $121 |
| Critical Care, First 30-74 Minutes99291 | 33 | $213 |
| Ultrasound Scan of Chest76604 | 12 | $27 |
| Ultrasound of Heart, Follow-Up93308 | 12 | $25 |
Typical Medicare-allowed amounts for these services range $25–$213 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-28
- Last updated
- 2013-06-04
Frequently asked questions
- What is Timothy Fallon's NPI number?
- Timothy Fallon's National Provider Identifier (NPI) is 1205078854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Fallon's specialty?
- Timothy Fallon is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Fallon located?
- Timothy Fallon's practice location on file with NPPES is 22 Bramhall St, Portland, ME 04102.
- What is Timothy Fallon's phone number?
- The practice phone number listed in the NPPES registry for Timothy Fallon is (207) 662-2381.
- Does Timothy Fallon accept Medicare?
- Timothy Fallon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Fallon's NPI active?
- Yes — Timothy Fallon's NPI (1205078854) is active in the NPPES registry as of the last update on 2013-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.