Individual provider Active NPI

Michael Joseph Fallon, MD

  • Radiation Oncology Physician
  • Eau Claire, WI
National Provider Identifier
1184623381
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
38962 Issued in WI
Practice address
2200 Craig Rd
Eau Claire, WI 54701-2699
Phone
(715) 858-8100
NPI assigned
Jul 19, 2005
Reactivated
Apr 5, 2006
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 197667 NY
Radiation Oncology Physician 2085R0001X 036153253 IL
Radiation Oncology Physician 2085R0001X 38962 WI Primary

Addresses

Primary practice location

2200 Craig Rd
Eau Claire, WI 54701-2699

Mailing address

1000 N Oak Avenue
Marshfield, WI 54449-4038
Phone (715) 387-5511

Other identifiers 1

IdentifierTypeStateIssuer
02164501MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041221000823 NY Practitioner - Radiation Oncology 8426016635 Reassigns benefits to 1 organization
I20230414000646 WI Practitioner - Radiation Oncology 8426016635 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-6133

2310 Craig Rd
Eau Claire, WI 54701-6128
Phone (715) 858-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
64.71
Promoting interoperability
100
Improvement activities
40
Cost
65.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
197667NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Apr 10, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Apr 10, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince May 19, 2008 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince May 19, 2008 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Apr 10, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Apr 10, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 10, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 10, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Apr 10, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Apr 10, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Apr 10, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Apr 10, 2023 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1088 Commons Ave
Cortland, NY 13045
Phone (607) 725-6806

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

2200 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4610

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1184623381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVENUE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494038",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CRAIG RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012699",
            "telephone_number": "715-858-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-13",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "197667",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036153253",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "38962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02164501",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2200 Craig Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547012699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.