DESMOND FIALKOSKY PA-C
NPI 1346919479
Physician Assistant in Billings, MT

Active since September 11, 2021PECOS EnrolledAccepts Medicare Assignment
3737 GRAND AVE STE 6, BILLINGS, MT 59102(406) 839-2985 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2023, Sep 11, 2021 (2 updates tracked since 2021).

About Desmond Fialkosky Pa-c NPPES

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

DESMOND FIALKOSKY PA-C (NPI 1346919479) is an individual physician assistant in Billings, Montana and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346919479
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDESMOND FIALKOSKYCredential: PA-C
Location Address3737 GRAND AVE STE 6Billings, MT 59102-6258
Mailing Address3737 Grand Ave Ste 6Billings, MT 59102-6258 · (406) 839-2985
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 11, 2021
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
NPI 1346919479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 102260 (MT)
3737 GRAND AVE STE 6, Billings, MT 59102

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

Desmond Fialkosky Pa-c 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 ID3870982952
PECOS Enrollment IDI20211110002787
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 5

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
150 services30 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.
95 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services27 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
52 services17 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
30 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59102 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
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 8

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

Psychiatry & Neurology (Psychiatry)
3737 GRAND AVE STE 6
BILLINGS, MT 59102
Counselor (Mental Health)
3737 GRAND AVE STE 6
BILLINGS, MT 59102
Social Worker (Clinical)
3737 GRAND AVE STE 6
BILLINGS, MT 59102
Counselor
3737 GRAND AVE STE 6
BILLINGS, MT 59102
Physician Assistant
3737 GRAND AVE STE 6
BILLINGS, MT 59102
Counselor (Mental Health)
3737 GRAND AVE STE 6
BILLINGS, MT 59102
Physician Assistant
3737 GRAND AVE STE 6
BILLINGS, MT 59102
Pharmacist
3737 GRAND AVE STE 6
BILLINGS, MT 59102

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 Desmond Fialkosky's NPI number?

The NPI number for Desmond Fialkosky is 1346919479. It was assigned to this individual provider in the NPPES registry on September 11, 2021.

Where is Desmond Fialkosky located?

Desmond Fialkosky practices at 3737 Grand Ave Ste 6, Billings, MT 59102. The listed phone number is (406) 839-2985.

What is Desmond Fialkosky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Desmond Fialkosky enrolled in Medicare?

Yes. Desmond Fialkosky 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 Desmond Fialkosky accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Desmond Fialkosky 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.

When was this NPI record last updated?

The NPPES record for Desmond Fialkosky was last updated on July 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.