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JAMES FALLIN MD
NPI 1407268113
Emergency Medicine in Coeur D Alene, ID

Active since May 29, 2014PECOS Enrolled
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-5700(208) 625-5708 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2025, Apr 22, 2024, May 21, 2021 (3 updates tracked since 2021).

About James Fallin Md NPPES

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

JAMES FALLIN MD (NPI 1407268113) is an individual emergency medicine provider in Coeur D Alene, Idaho, licensed in Idaho (M-16273) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407268113
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES FALLINCredential: MD
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5700 · Fax (208) 625-5708
Phone(208) 625-5700
Fax(208) 625-5708
Sole ProprietorNo
Enumeration DateMay 29, 2014
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1407268113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ID · M-16273✔ Licensed in SC · LL36831
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.
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
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Secondary Practice Locations 2

Location 114 Medical Park, Ste 350, Emergency Medicine DeptColumbia, SC 29203 · Phone (803) 434-7088 · Fax (803) 434-3946
Location 2101 E Wood StSpartanburg, SC 29303-3040 · Phone (864) 560-7025

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Fallin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

8

Medicare enrollment records show James Fallin reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kootenai Health, Inc.
Same address
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 472 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000
Kootenai Health, Inc.
Same address
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 301 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000
Hospitalist Medicine Physicians Of Idaho- Nampa PLLC
89 mi
Emergency Medicine
415 6TH ST
Lewiston, ID 83501
  • Reassigned Medicare billing, Idaho enrollment
  • 45 clinicians in this Medicare group
NPI 1558995316 (208) 743-2511
Palmetto Health
1,963 mi
Neurology
220 KEOWEE TRL
Clemson, SC 29631
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health-Midlands
  • 373 clinicians in this Medicare group
NPI 1710137047 (864) 653-4071
Spartanburg Medical Center
1,964 mi
Family Medicine
135 BOTANICAL CIR
Travelers Rest, SC 29690
  • Reassigned Medicare billing, South Carolina enrollment
  • 754 clinicians in this Medicare group
NPI 1477938777 (864) 849-9210
Pelham Medical Center
1,984 mi
Internal Medicine
250 WESTMORELAND RD
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
  • 313 clinicians in this Medicare group
NPI 1245496983 (864) 560-6619
Sound Physicians Emergency Medicine Of South Carolina LLC
2,059 mi
Emergency Medicine
302 UNIVERSITY PKWY
Aiken, SC 29801
  • Reassigned Medicare billing, South Carolina enrollment
  • 187 clinicians in this Medicare group
NPI 1730636168 (803) 641-5000
Mcleod Health Cheraw
2,095 mi
Nurse Anesthetist, Certified Registered
711 CHESTERFIELD HWY
Cheraw, SC 29520
  • Reassigned Medicare billing, South Carolina enrollment
  • 275 clinicians in this Medicare group
NPI 1275912974 (843) 537-7881

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 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.

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.
335 services328 patients
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.
321 services315 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
72 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services61 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
15 services15 patients

Physician 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.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

CHRISTINA CRABTREE M.D.
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
SCOTT GEYER RD
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. MATTHEW KUNZ DO
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
MRS. AMANDA K KAMPF RN, BSN
Student in an Organized Health Care Education/Training Program
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. PATRICK WILLIAM MAGAJNA MD
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
JOSHUA LEPPERT CRNA
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 765-8585
MARC OLAV GRANRUD
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6900
KIMBERLEY S HALL DIETICIAN
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 666-2000

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 James Fallin's NPI number?

The NPI number for James Fallin is 1407268113. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is James Fallin located?

James Fallin practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5700.

What is James Fallin's specialty?

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

Is James Fallin enrolled in Medicare?

Yes. James Fallin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Fallin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fallin reassigns Medicare benefits to 8 organizations: Kootenai Health, Inc. (Coeur D Alene, ID), Kootenai Health, Inc. (Coeur D Alene, ID), Hospitalist Medicine Physicians Of Idaho- Nampa PLLC (Lewiston, ID), Palmetto Health (Clemson, SC), Spartanburg Medical Center (Travelers Rest, SC) and 3 more organizations, listed in the Medicare section above. 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 James Fallin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fallin accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list James Fallin 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 James Fallin was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.