DR. NATHAN P FALK MD
NPI 1245434299
Family Medicine in Winter Haven, FL

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
1201 1ST ST S STE 100A, WINTER HAVEN, FL 33880(863) 280-6080(863) 229-7587 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2019, Jun 19, 2019, Jun 4, 2019 (3 updates tracked since 2019).

About Dr. Nathan P Falk Md NPPES

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

DR. NATHAN P FALK MD (NPI 1245434299) is an individual family medicine provider in Winter Haven, Florida, licensed in Florida (ME124263) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2007).

NPPES Registry Identity

NPI1245434299
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NATHAN P FALKCredential: MD
Location Address1201 1ST ST S STE 100AWinter Haven, FL 33880-3904
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-1355 · Fax (813) 635-2613
Fax(863) 229-7587
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2007
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 5, 20193 updates tracked since enumeration
NPI 1245434299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME124263
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License ME 124263 (FL)
1201 1ST ST S STE 100A, Winter Haven, FL 33880

Other Identifiers 1

Medicaid016940700FL

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

Dr. Nathan P 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 ID2961671813
PECOS Enrollment IDI20150904001327
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 2

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.

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 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Family Medicine
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Psychologist
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880
Student in an Organized Health Care Education/Training Program
1201 1ST ST S STE 100A
WINTER HAVEN, FL 33880

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 Nathan Falk's NPI number?

The NPI number for Nathan Falk is 1245434299. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Nathan Falk located?

Nathan Falk practices at 1201 1st St S Ste 100A, Winter Haven, FL 33880. The listed phone number is (863) 280-6080.

What is Nathan Falk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nathan Falk enrolled in Medicare?

Yes. Nathan 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 Nathan Falk accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Nathan 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.

When was this NPI record last updated?

The NPPES record for Nathan Falk was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.