DR. BRIAN JON MACFALDA DO, MBA
NPI 1013130053
Psychiatry & Neurology - Neurology in Marquette, MI

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
580 W COLLEGE AVE, MARQUETTE, MI 49855(906) 225-3939 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Jon Macfalda Do, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN JON MACFALDA DO, MBA (NPI 1013130053) is an individual neurology provider in Marquette, Michigan, licensed in Michigan (5101016375) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Michigan State University College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1013130053
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BRIAN JON MACFALDACredential: DO, MBA
Location Address580 W COLLEGE AVEMarquette, MI 49855-2705
Mailing Address2837 Us 41 WMarquette, MI 49855-2252 · (906) 225-3964 · Fax (906) 226-3875
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2005
Enumeration DateApril 10, 2007
Last NPPES UpdateOctober 8, 2010
NPI 1013130053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MI · 5101016375
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
580 W COLLEGE AVE, Marquette, MI 49855

Other Identifiers 2

Medicaid1013130053MI
Medicare PINC36078028MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Jon Macfalda Do, Mba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628116662
PECOS Enrollment IDI20091111000260
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
136 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Physical Medicine & Rehabilitation
580 W COLLEGE AVE
MARQUETTE, MI 49855
Nurse Anesthetist, Certified Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Anesthesiology
580 W COLLEGE AVE
MARQUETTE, MI 49855
Counselor (Addiction (Substance Use Disorder))
580 W COLLEGE AVE
MARQUETTE, MI 49855
Psychiatry & Neurology (Psychiatry)
580 W COLLEGE AVE
MARQUETTE, MI 49855
Nurse Practitioner
580 W COLLEGE AVE
MARQUETTE, MI 49855
Counselor (Addiction (Substance Use Disorder))
580 W COLLEGE AVE
MARGUETTE, MI 49855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Macfalda's NPI number?

The NPI number for Brian Macfalda is 1013130053. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Brian Macfalda located?

Brian Macfalda practices at 580 W College Ave, Marquette, MI 49855. The listed phone number is (906) 225-3939.

What is Brian Macfalda's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Brian Macfalda enrolled in Medicare?

Yes. Brian Macfalda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Macfalda accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brian Macfalda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Macfalda affiliated with any hospitals?

According to CMS data, Brian Macfalda is affiliated with Mymichigan Medical Center Alpena, Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Brian Macfalda was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.