MICHAEL J FALL DO
NPI 1851548648
Internal Medicine - Pulmonary Disease in Denver, CO
About Michael J Fall Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL J FALL DO (NPI 1851548648) is an individual pulmonary disease provider in Denver, Colorado, licensed in Idaho (O-1046) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
Michael J Fall Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Fall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountain Home, ID 83647
- Reassigned Medicare billing, Idaho enrollment
- 1,312 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 9
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDSt Luke's Elmore Medical Center
Critical Access Hospitals · Mountain Home, IDSt Luke's Mccall
Critical Access Hospitals · Mccall, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 16
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Fall's NPI number?
The NPI number for Michael Fall is 1851548648. It was assigned to this individual provider in the NPPES registry on August 22, 2008.
Where is Michael Fall located?
Michael Fall practices at 535 16th St Ste 750, Denver, CO 80202. The listed phone number is (303) 825-4646.
What is Michael Fall's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Michael Fall enrolled in Medicare?
Yes. Michael Fall 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 organization bills Medicare for Michael Fall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fall reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). The 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 Michael Fall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Fall accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Michael Fall 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 Michael Fall affiliated with any hospitals?
According to CMS data, Michael Fall is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center, St Luke's Elmore Medical Center and St Luke's Mccall.
When was this NPI record last updated?
The NPPES record for Michael Fall was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Michael J Fall, DO · NPI 1851548648
Pulmonary Disease physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since August 22, 2008.
## Identity
- **NPI:** 1851548648 (Entity type: Individual)
- **Enumerated:** August 22, 2008
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** O-1046 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 535 16TH ST, STE 750, Denver, CO 80202-4228
- **Phone:** (303) 825-4646 · **Fax:** (303) 825-3215
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Lukes Clinic-Treasure Valley LLC (NPI 1417297821, Mountain Home, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2006
## Record status
- **NPPES last updated:** June 6, 2017
- **Other identifiers:** Medicaid 12783340 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1851548648) · Data from the CMS NPPES public registry.