NPPES file of Aug 9, 2026

Timothy S. Fallon, MD

Emergency Medicine Physician · Portland, ME

Timothy S. Fallon, MD is an emergency medicine physician with a practice address in Portland, Maine, and NPI 1205078854, issued on Mar 28, 2009. Check the license (Maine MD19648, as entered in NPPES) on the Maine Board of Licensure in Medicine; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205078854
Name
Timothy S. Fallon
Credential
MD
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
MD19648 ME
Self-reported in NPPES; status is on the state search
Practice location
22 Bramhall St, Portland, ME 04102
Phone
(207) 662-2381
Enumerated
Mar 28, 2009
Record last updated
Jun 4, 2013 (not updated in 13 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20130806000125); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 22 Bramhall St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jessica Abbatiello, NP-CFamily Nurse Practitioner1871811737
  2. Ruslan Abdukalikov, DOAnesthesiology Physician1831694793
  3. Tod Abrahams, M.D.Diagnostic Radiology Physician1538231642
  4. Joshua Abrams, PA-CSurgical Physician Assistant1932832128
  5. Christopher Abruzzese, D.OAnesthesiology Physician1558789305
  6. Haley Acker, PA-CPhysician Assistant1972167377

Verify Timothy S. Fallon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMaine Board of Licensure in Medicine
    Search for license MD19648
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Maine license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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88% fewer Medicare Part D claims than the average emergency medicine physician in 2024

26 Medicare Part D claims for 22 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.

  1. Timothy Fallon26
  2. Specialty average226

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 98.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. MainehealthPortland, ME

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Timothy S. Fallon among 466 emergency medicine physician records in Maine

Timothy S. Fallon, MD is one of 466 emergency medicine physician records with a practice address in Maine. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 52% of them.

  • NPI issued2009 · 52% of these records are older, 43% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2009 · median 2011 among the 293 with a school on file
  • Record last updated2013 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Maine practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

105 emergency medicine physician records list a practice address in Portland

They are 105 of the 6,022 NPPES records with a practice address in Portland, and 466 emergency medicine physician records in Maine.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Michael Baumann, MDPortland, ME 041021205936010
  2. Meredith Bennet, MDPortland, ME 041021598865404
  3. Mark Earnshaw, MDPortland, ME 041021720181431
  4. Megan Fix, MDPortland, ME 041021578554457
  5. Mark Fourre, MDPortland, ME 041021588653018
  6. Samir Haydar, DOPortland, ME 041021598782153
  7. Christine Hein, MDPortland, ME 041021407940901
  8. Jonathan Karol, DOPortland, ME 041021528165420

Common questions

What is Timothy S. Fallon, MD's NPI number?

Timothy S. Fallon, MD's National Provider Identifier (NPI) is 1205078854, issued on Mar 28, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Timothy S. Fallon, MD located?

The NPPES record lists a practice address at 22 Bramhall St, Portland, ME, 04102. Phone: (207) 662-2381. Providers update this record themselves, so call before visiting.

How can I verify Timothy S. Fallon, MD's license?

NPPES lists Maine license number MD19648, as entered by the provider. Search the Maine Board of Licensure in Medicine at https://www.maine.gov/md/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Timothy S. Fallon, MD prescribe under Medicare Part D?

In 2024, Timothy S. Fallon, MD had 26 Medicare Part D claims for 22 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Timothy S. Fallon, MD's MIPS final score?

The 2023 MIPS final score is 98.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.