About
Dr. Michael William Koppens Peirce, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Stratford, ON, he serves the surrounding communities. His practice is committed to adhering to the standards and guidelines set forth by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Peirce provides comprehensive care in Internal Medicine and Geriatric Care, emphasizing thorough assessment and management of complex adult health conditions.
He graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2012, Canada. Following his graduation, he completed extensive post-graduate medical training, including residency in Internal Medicine and specialized certification in Geriatric Medicine. His training ensures he is equipped with current, evidence-based approaches to adult and senior healthcare.
Dr. Peirce’s clinical philosophy centers on delivering evidence-based and informative care. He is dedicated to serving the Stratford community and speaks English fluently. His approach emphasizes patient-centered care, ensuring that treatment plans align with individual needs, preferences, and the latest medical guidelines.
Dr. Peirce provides expert care for adults with a wide range of medical conditions, including:
Select Infectious & Inflammatory Conditions
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
Management of Chronic Diseases
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
Geriatric Syndromes & Focused Elder Care
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
Dr. Peirce manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.
- Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
- Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
- Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
Note: This list represents some of the key services offered by Dr. Peirce. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Peirce's scope of practice, please discuss with your referring physician or contact the clinic.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).
Dr. Peirce's practice is conveniently located near the central Stratford neighborhood of Stratford, within the facilities of Hotel Dieu Hospital. Patients can enjoy easy access from nearby points of interest, including local parks and community centers. The clinic is accessible via public transit, with bus stops nearby providing convenient transportation options. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Peirce? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Peirce are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.
- Can I book an appointment directly or do I absolutely need a referral?
- A referral from your family physician or another medical specialist is required to see Dr. Peirce. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.
- What happens after the initial consultation?
- After your assessment, Dr. Peirce will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Peirce may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.
- Does Dr. Michael William Koppens Peirce discuss goals of care or advance care planning?
- Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Peirce encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. He can provide information and facilitate these discussions.
- Will Dr. Michael William Koppens Peirce replace my family doctor?
- No, Dr. Peirce acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Peirce will communicate findings and recommendations back to your family doctor.
- Does Dr. Michael William Koppens Peirce handle prescription refills?
- Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Peirce will make initial recommendations or adjustments, but routine refills are best handled by your family doctor who manages your overall care, unless specific arrangements are made for certain specialized medications.
Hotel Dieu Hospital
107-444 Douro St
Stratford, ON N5A 0E6
Phone: (519) 273-0100 | Fax: (519) 273-0675
The facility is wheelchair accessible.
Dr. Peirce is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Peirce-Michael-William-Koppens/0281354-98028