WILLIAM D FALES M.D.
NPI 1063473114
Emergency Medicine in Kalamazoo, MI

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-6605 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William D Fales M.d. NPPES

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

WILLIAM D FALES M.D. (NPI 1063473114) is an individual emergency medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301061878) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1063473114
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameWILLIAM D FALESCredential: M.D.
Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282
Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateMarch 29, 2006
Last NPPES UpdateMay 24, 2012
✔ NPI 1063473114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4301061878
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 OAKLAND DR, Kalamazoo, MI 49008

Other Identifiers 5

Medicaid102980402MI
Medicare PIN930011539MI
OtherWF061878MI · Blue Cross Blue Shield
Medicare UPINF44471
Medicare PIN0C96038035MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William D Fales M.d. 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 ID4688709728
PECOS Enrollment IDI20100315000929
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.

Medicare Billing Reassignments

3

Medicare enrollment records show William Fales reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
125 S KALAMAZOO MALL, SUITE 204
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
Emergency Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 81 clinicians in this Medicare group
Emergency Medicine
701 S HEALTH PKWY
Three Rivers, MI 49093
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49008 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008

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 William Fales's NPI number?

The NPI number for William Fales is 1063473114. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is William Fales located?

William Fales practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-6605.

What is William Fales's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is William Fales enrolled in Medicare?

Yes. William Fales 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.

Which organizations bill Medicare for William Fales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Fales reassigns Medicare benefits to 3 organizations: Southwestern Michigan Emergency Services, PC (Kalamazoo, MI), Vituity-Michigan Health Services PC (Kalamazoo, MI) and Cep America LLC (Three Rivers, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Fales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is William Fales affiliated with any hospitals?

According to CMS data, William Fales is affiliated with Bronson Methodist Hospital and Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for William Fales was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.