2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1225491004 M.D.
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ZACHARY FALLON, M.D.

Physical Medicine & Rehabilitation Physician in SAINT PETERS, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
661
Medicare Part D claims · 279 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$636.68
14 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ZACHARY FALLON, M.D. is a Physical Medicine & Rehabilitation Physician ([object Object]) practicing in SAINT PETERS, Missouri with a Medicare Part D prescribing footprint of 661 claims across 279 beneficiaries — 2% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $636.68 across 14 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ZACHARY FALLON, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 661 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ZACHARY FALLON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ZACHARY FALLON, M.D. at a glance

Below national average

NPI registry status

Active

Issued 03/30/2016

NPI 1225491004

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

661 15% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Physical Medicine & Rehabilitation Physician compares to other specialties among Missouri providers

Missouri providers

Physical Medicine & Rehabilitation Physician share within Missouri

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Missouri

Medicare quality performance — MIPS

ZACHARY FALLON, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ZACHARY FALLON, M.D. is a Physical Medicine & Rehabilitation Physician provider practicing in SAINT PETERS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1225491004. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ZACHARY FALLON, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 5200 EXECUTIVE CENTRE PKWY STE 300, SAINT PETERS, MO, 63376, with a listed phone of (636) 441-3444. NPI 1225491004 was issued on 03/30/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FALLON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 661 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $5K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 62.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5200 EXECUTIVE CENTRE PKWY STE 300
SAINT PETERS, MO 63376

Provider Details

NPI 1225491004
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 03/30/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where ZACHARY FALLON, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

AGING WELL HEALTH CARE, LLC
SAINT LOUIS, MO
ST PETERS BONE AND JOINT SURGERY INC
O FALLON, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ZACHARY FALLON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$637

Largest payer

Boston Scientific Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

ZACHARY FALLON, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 661 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

661
Total Claims
$5K
Total Drug Cost
279
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
666
Total Day Supply
10,700
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$2K
Generic Drug Cost
$4K
Opioid Claims
416 (62.9% rate)

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.46
Gender Split
65% female / 35% male
Age Distribution
<65: 21, 65-74: 144, 75-84: 89, 85+: 25

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tramadol Hcl
197
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
136
Gabapentin
62
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
62
Cyclobenzaprine Hcl
45
Naproxen
42
Alprazolam
26
Meloxicam
16
Duloxetine Hcl
11
Oxycodone Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physical Medicine & Rehabilitation Physician Overview

How ZACHARY FALLON, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

ZACHARY FALLON, M.D.'s 661 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as FALLON.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ZACHARY FALLON, M.D.'s specialty?
ZACHARY FALLON, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in SAINT PETERS, Missouri. Credentials: M.D..
How much does ZACHARY FALLON, M.D. prescribe under Medicare Part D?
In 2023, ZACHARY FALLON, M.D. wrote 661 Medicare Part D claims totaling $5K in drug costs for 279 beneficiaries.
What is ZACHARY FALLON, M.D.'s Medicare quality score?
ZACHARY FALLON, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ZACHARY FALLON, M.D. located?
ZACHARY FALLON, M.D. is located at 5200 EXECUTIVE CENTRE PKWY STE 300, SAINT PETERS, MO, 63376. Phone: (636) 441-3444.
What is ZACHARY FALLON, M.D.'s NPI number?
ZACHARY FALLON, M.D.'s National Provider Identifier (NPI) is 1225491004, issued on 03/30/2016.
Does ZACHARY FALLON, M.D. prescribe more brand-name or generic drugs?
ZACHARY FALLON, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $2K in brand drug costs.
Does ZACHARY FALLON, M.D. prescribe opioids?
Yes, ZACHARY FALLON, M.D. had 416 opioid claims in 2023 with an opioid prescribing rate of 62.9%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does ZACHARY FALLON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ZACHARY FALLON, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZACHARY FALLON, M.D. accept Medicare?
ZACHARY FALLON, M.D. appears in CMS Medicare data with 661 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZACHARY FALLON, M.D.'s credentials?
ZACHARY FALLON, M.D.'s NPI is 1225491004 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology