MICHAEL JUSTIN MCFALL D.O.
NPI 1336580471
Pathology - Dermatopathology in Loveland, CO

Q: What is Michael Mcfall's NPI number?

The NPI number for Michael Mcfall is 1336580471. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Q: What is Michael Mcfall's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mcfall was last updated on April 17, 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.

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment

81.65/100

CMS Quality Rating

5802 WRIGHT DR, LOVELAND, CO 80538(970) 212-0530 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2024, Oct 20, 2021, Sep 4, 2020 (3 updates tracked since 2020).

On this page

About Michael Justin Mcfall D.o. NPPES

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

MICHAEL JUSTIN MCFALL D.O. (NPI 1336580471) is an individual dermatopathology provider in Loveland, Colorado, licensed in Alabama (DO.2666) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1336580471

Entity TypeIndividualMale

Primary Taxonomy207ZD0900X

Provider Legal NameMICHAEL JUSTIN MCFALLCredential: D.O.

Location Address5802 WRIGHT DRLoveland, CO 80538-8806

Mailing Address5802 Wright DrLoveland, CO 80538-8806

Phone(970) 212-0530

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 16, 2013

Last NPPES UpdateApril 17, 20243 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1336580471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZD0900X

Licenses✔ Licensed in AL · DO.2666✔ Licensed in SD · 16528✔ Licensed in ND · 16528

Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 20A 12293 (CA)

5802 WRIGHT DR, Loveland, CO 80538

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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

Michael Justin Mcfall D.o. 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 ID9436404779

PECOS Enrollment IDI20230515000390, I20230606001977, I20251030002988

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 29

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

3,961 services1,485 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

447 services110 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

446 services269 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

366 services80 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

282 services145 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

194 services102 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

143 services60 patients

Special stained specimen slides to examine tissue, initial procedure 88342

99 services86 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

89 services37 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

84 services82 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

73 services72 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

66 services29 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

64 services56 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

56 services36 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

54 services51 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

49 services38 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

45 services31 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

43 services41 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

43 services32 patients

Surgical pathology consultation and report on referred material requiring preparation of slides 88323

A surgical pathology consultation involves the examination of tissue removed during surgery. The tissue is processed and slides are prepared for detailed study under a microscope. The findings are then compiled into a report to help guide your treatment plan.

39 services20 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

37 services20 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

34 services34 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

34 services17 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

29 services13 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

23 services11 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

19 services16 patients

Pathology examination of tissue using a microscope, limited examination 88300

15 services11 patients

Immunologic analysis technique on body fluid 86325

Immunologic analysis is a process that examines body fluids to identify and measure substances that help your body defend against diseases. It uses specialized lab techniques to understand your immune system better, aiding in diagnosis and treatment.

14 services14 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280061

Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County

Emergency services Birthing friendly

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number530014

Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

81.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.42

Improvement Activities

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.

DR. NARINA GROVE MD

Pathology (Dermatopathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (970) 212-0530

CATHERINE C PIZZI MD