DR. DAVID LEE FOLK DNP
NPI 1265800718
Nurse Practitioner - Family in Pittsburgh, PA

Active since September 14, 2015PECOS EnrolledAccepts Medicare Assignment
1350 LOCUST ST, SUITE 406, PITTSBURGH, PA 15219(412) 232-8104(412) 281-1898 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David Lee Folk Dnp NPPES

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

DR. DAVID LEE FOLK DNP (NPI 1265800718) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP015213) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265800718
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. DAVID LEE FOLKCredential: DNP
Location Address1350 LOCUST ST, SUITE 406Pittsburgh, PA 15219-4738
Mailing Address1350 Locust St, Suite 406Pittsburgh, PA 15219-4738 · (412) 232-8104 · Fax (412) 281-1898
Fax(412) 281-1898
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 14, 2015
✔ NPI 1265800718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP015213
1350 LOCUST ST, Pittsburgh, PA 15219

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. David Lee Folk Dnp 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 ID1850600131
PECOS Enrollment IDI20151028000517
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 Reassignment

Medicare enrollment records show David Folk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
2589 BOYCE PLAZA RD STE 5
Pittsburgh, PA 15241
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 36 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.

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.
209 services196 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.
66 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

Urology
1350 LOCUST ST, SUITE G100A
PITTSBURGH, PA 15219
Legal Medicine
1350 LOCUST ST, STE 300
PITTSBURGH, PA 15219
Internal Medicine (Gastroenterology)
1350 LOCUST ST, SUITE 406
PITTSBURGH, PA 15219
Specialist
1350 LOCUST ST, SUITE G100A
PITTSBURGH, PA 15219
Physician Assistant
1350 LOCUST ST, SUITE G 100A
PITTSBURGH, PA 15219
Nurse Practitioner (Family)
1350 LOCUST ST
PITTSBURGH, PA 15219
Neurological Surgery
1350 LOCUST ST, SUITE 300
PITTSBURGH, PA 15219
Internal Medicine (Critical Care Medicine)
1350 LOCUST ST, SUITE 400
PITTSBURGH, PA 15219

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 David Folk's NPI number?

The NPI number for David Folk is 1265800718. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is David Folk located?

David Folk practices at 1350 Locust St Suite 406, Pittsburgh, PA 15219. The listed phone number is (412) 232-8104.

What is David Folk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is David Folk enrolled in Medicare?

Yes. David Folk 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 organization bills Medicare for David Folk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Folk reassigns Medicare benefits to Pittsburgh Gastroenterology Associates (Pittsburgh, PA). The 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 David Folk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Folk affiliated with any hospitals?

According to CMS data, David Folk is affiliated with Washington Hospital, The, Penn Highlands Mon Valley, St Clair Hospital and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for David Folk was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.