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

Q: 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.

Q: What is Nathan Falk's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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

Phone(863) 280-6080

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1201 1ST ST S STE 100A, Winter Haven, FL 33880

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Other Identifiers 1

Medicaid016940700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Nathan Falk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System Sunbelt Inc

36 mi

Pediatrics

15502 STONEYBROOK WEST PKWY, SUITE 2-108
Winter Garden, FL 34787

Reassigned Medicare billing, Florida enrollment
80 clinicians in this Medicare group

NPI 1477808046 (407) 656-0042

Florida Hospital Medical Group Inc

43 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

Baycare Medical Group, Inc.

60 mi

General Practice

2995 DREW ST FL 2
Clearwater, FL 33759

Reassigned Medicare billing, Florida enrollment
2,009 clinicians in this Medicare group

NPI 1043269871 (727) 281-9065

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 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 13

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

MARVIN CHARLES DIEUJUSTE MD

Family Medicine