WALTER RAYMOND FAIRFAX MD
NPI 1124170170
Internal Medicine - Critical Care Medicine in Coeur D Alene, ID
About Walter Raymond Fairfax Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER RAYMOND FAIRFAX MD (NPI 1124170170) is an individual critical care medicine provider in Coeur D Alene, Idaho, licensed in Idaho (M11477) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Oregon Health Sciences University School Of Medicine (1979).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Walter Raymond Fairfax Md 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 7
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDNorthwest Specialty Hospital
Acute Care Hospitals · Post Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 19
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
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 Walter Fairfax's NPI number?
The NPI number for Walter Fairfax is 1124170170. It was assigned to this individual provider in the NPPES registry on January 18, 2007.
Where is Walter Fairfax located?
Walter Fairfax practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-4000.
What is Walter Fairfax's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Walter Fairfax enrolled in Medicare?
Yes. Walter Fairfax 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 Walter Fairfax accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Walter Fairfax 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 Walter Fairfax affiliated with any hospitals?
According to CMS data, Walter Fairfax is affiliated with Kootenai Health and Northwest Specialty Hospital.
When was this NPI record last updated?
The NPPES record for Walter Fairfax was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Walter Raymond Fairfax, MD · NPI 1124170170
Critical Care Medicine physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1124170170 (Entity type: Individual)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** M11477 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814-6051
- **Phone:** (208) 625-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 1979
## Record status
- **NPPES last updated:** April 16, 2024
- **Other identifiers:** Other 000096870 (MT); Other 0011135 (MT); Other 105079600 (WY)
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Source: [NPI Profile](https://npiprofile.com/npi/1124170170) · Data from the CMS NPPES public registry.