Desmond Fialkosky, PA-C
NPI 1346919479ActiveIndividual· Physician Assistant· Billings, MT
Physician Assistant (PA-C) with Turnwell Mental Health of Montana PC, practicing in Billings, Montana. 42 Medicare patients in 2024, $18,225 paid; nearly all of their 159 Part D prescriptions were generic (99%). Janssen Pharmaceuticals, Inc reported $17.05 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1346919479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 11, 2021 |
| Last updated in NPPES | Jul 13, 2023 |
| Certified by provider | Jul 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | MT |
| Clinical Nurse Specialist, Psych/Mental Health | 364SP0808X | 102260 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 403 across 11 procedure codes |
| Paid by Medicare | $18,225 |
Part D prescriptions in 2024
| Prescriptions (claims) | 159 · 205 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $3,976 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Turnwell Mental Health of Montana PCBillings, MT · 17 clinicians
Industry payments (Open Payments)
- 2025$17.05 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $17.05 | 1 |
What the 2025 payments were for
- Food and Beverage$17.05 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 175 physician assistants in Billings · All physician assistants in Montana