PETER MICHAEL FALK MD
NPI 1053424853
Colon & Rectal Surgery in Green Bay, WI

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
670 CORMIER ROAD, GREEN BAY, WI 54304(920) 494-9685(920) 494-9687 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Michael Falk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER MICHAEL FALK MD (NPI 1053424853) is an individual colon & rectal surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (34387) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Oral Roberts University School Of Medicine (1986).

NPPES Registry Identity

NPI1053424853
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NamePETER MICHAEL FALKCredential: MD
Location Address670 CORMIER ROADGreen Bay, WI 54304-4824
Mailing Address670 Cormier RoadGreen Bay, WI 54304-4824 · (920) 494-9685 · Fax (920) 494-9687
Fax(920) 494-9687
Sole ProprietorNo
Medical School CMSOral Roberts University School Of MedicineGraduated 1986
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1053424853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in WI · 34387
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
670 CORMIER ROAD, Green Bay, WI 54304

Other Identifiers 1

Medicaid31923900WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Peter Michael Falk Md 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.

PECOS PAC ID941106298
PECOS Enrollment IDI20040211000768
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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 Peter Falk's NPI number?

The NPI number for Peter Falk is 1053424853. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Peter Falk located?

Peter Falk practices at 670 Cormier Road, Green Bay, WI 54304. The listed phone number is (920) 494-9685.

What is Peter Falk's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Peter Falk enrolled in Medicare?

Yes. Peter Falk 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.

What insurance does Peter Falk accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Peter Falk 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 Peter Falk affiliated with any hospitals?

According to CMS data, Peter Falk is affiliated with Bellin Memorial Hospital, St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Falk was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.