DR. BRIAN JON MACFALDA DO, MBA
NPI 1013130053
Psychiatry & Neurology - Neurology in Marquette, MI
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
Specialties & Licenses
Other Identifiers 2
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.
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.
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, MIMymichigan Medical Center West Branch
Acute Care Hospitals · West Branch, MIMymichigan Medical Center Clare
Acute Care Hospitals · Clare, MIMymichigan Medical Center Midland
Acute Care Hospitals · Midland, MIMymichigan Medical Center Gladwin
Critical Access Hospitals · Gladwin, MIPhysician 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.
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.
MARQUETTE, MI 49855
MARQUETTE, MI 49855
MARQUETTE, MI 49855
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.