RICHARD G FALLER (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1174529606

RICHARD G FALLER (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 4301048830 (MI). The NPI Number for RICHARD G FALLER (M.D.) is 1174529606

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD G FALLER (M.D.)
NPI
1174529606
Phone
(231) 947-0673
Address
1105 6TH ST
Enumeration Date
21 June 2005
Last Update Date
2 April 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2319355900
Graduation Year
1984 (42 years ago)
PAC ID
9436341641
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20101006000856

Contacts

Secure Messaging
richardfaller@direct-address.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for RICHARD G FALLER (M.D.)

  • 6th Street, Fife Lake, Fife Lake Township, Grand Traverse County, Michigan, United States

    TRAVERSE CITY, MI 496842349

    Phone: (231) 947-0673

    Fax: (801) 740-2847

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101006000856IEmergency MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less5644$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less4914$0
97597Removal of tissue from wound, 20.0 sq cm or less1413$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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Provider's Procedures

RICHARD G FALLER (M.D.) performs procedures in Emergency Medical Services (Emergency Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMI36556Insertion of central venous catheter for infusion, patient 5 years or older1312
EMERGENCY MEDICINEMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report575531

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072426287View full group profile

Reviews

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Frequently asked questions

Can I cross-check RICHARD G FALLER (M.D.) using NPI 1174529606?
NPI 1174529606 belongs to RICHARD G FALLER (M.D.); compare other details if you need extra assurance.
Is RICHARD G FALLER (M.D.) still an active registrant?
RICHARD G FALLER (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for RICHARD G FALLER (M.D.)?
At a glance, RICHARD G FALLER (M.D.) is tied to Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is RICHARD G FALLER (M.D.) registered?
Use Traverse City, Michigan as the headline location for RICHARD G FALLER (M.D.) here.
Can I trust this NPI listing for RICHARD G FALLER (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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