PETER MICHAEL FALK MD
NPI 1053424853
Colon & Rectal Surgery in Green Bay, WI
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Peter Falk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 216 clinicians in this Medicare group
Sturgeon Bay, WI 54235
- Reassigned Medicare billing, Wisconsin enrollment
- 131 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, WISt Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIPhysician 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.
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.
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.
Which organizations bill Medicare for Peter Falk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Falk reassigns Medicare benefits to 4 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), St. Clare Memorial Hospital, Inc. (Green Bay, WI), Door County Memorial Hospital (Sturgeon Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Falk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Falk accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, 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.
# Peter Michael Falk, MD · NPI 1053424853
Colon & Rectal Surgery physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1053424853 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** 34387 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 670 CORMIER ROAD, Green Bay, WI 54304-4824
- **Phone:** (920) 494-9685 · **Fax:** (920) 494-9687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Clare Memorial Hospital, Inc. (NPI 1093173791, Green Bay, WI); Door County Memorial Hospital (NPI 1093743874, Sturgeon Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oral Roberts University School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 31923900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053424853) · Data from the CMS NPPES public registry.