Doctor profile · Federal record

Dr. Desmond Fialkosky, PA-C

Physician Assistant · Psychiatric/Mental Health Clinical Nurse Specialist · Billings, MT

  • NPI 1346919479
  • Accepts Medicare
  • 5 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3737 Grand Ave Ste 6
Billings, MT 591026258
(406) 839-2985

Credentials & registration

NPPES · NUCC
NPI registered
September 2021 — 5 yrs on file
Profile last updated
July 13, 2023
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Montana #102260

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1346919479. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
427
Distinct HCPCS
6
Medicare allowed
$22,001
HCPCS Description Services Patients Avg allowed
96127 Assessment of emotional or behavioral problems 130 28 $5
99214 Established patient office or other outpatient visit, 30-39 minutes 89 31 $107
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 66 23 $54
J3490 Unclassified drugs 65 22 $3
99215 Established patient office or other outpatient visit, 40-54 minutes 49 23 $151
G2212 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 28 15 $27

In context: peer comparison

Among 47 peers in this city , average services per provider: 109. This provider delivers 3.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
12
Patients
0
Total drug cost
$62
Drug Type Claims Patients Total cost
Citalopram Hbr (Citalopram Hydrobromide) Brand 12 0 $62

Frequently asked questions

Auto-generated from federal data
What is Dr. Desmond Fialkosky's medical specialty?
Dr. Desmond Fialkosky practices Physician Assistant in Billings, MT.
Where does Dr. Desmond Fialkosky practice?
Dr. Desmond Fialkosky practices at 3737 Grand Ave Ste 6, Billings, MT 591026258. Office phone: 4068392985.
What is Dr. Desmond Fialkosky's NPI?
Dr. Desmond Fialkosky's National Provider Identifier (NPI) is 1346919479, issued by NPPES.
Does Dr. Desmond Fialkosky accept Medicare assignment?
Yes. Dr. Desmond Fialkosky accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Desmond Fialkosky commonly perform?
Top Medicare-reported procedures in 2023: Assessment of emotional or behavioral problems (HCPCS 96127); Established patient office or other outpatient visit (HCPCS 99214); Infusion into a vein for therapy, prevention, or diagnosis (HCPCS 96365). Source: CMS Medicare Physician & Other Practitioners file.