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DR. MICHAEL A FALK MD
NPI 1316905425
Pediatrics in Marlton, NJ

Active since May 01, 2006PECOS Enrolled
301 OLD MARLTON PIKE, SUITE 1, MARLTON, NJ 08053(856) 988-9101(856) 988-0594 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael A Falk Md NPPES

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

DR. MICHAEL A FALK MD (NPI 1316905425) is an individual pediatrics provider in Marlton, New Jersey, licensed in New Jersey (25MA06670700) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316905425
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHAEL A FALKCredential: MD
Location Address301 OLD MARLTON PIKE, SUITE 1Marlton, NJ 08053
Mailing Address401 Route 73 N Bldg 10, Suite 320Marlton, NJ 08053 · (856) 988-9101 · Fax (856) 988-0594
Phone(856) 988-9101
Fax(856) 988-0594
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 5, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1316905425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA06670700
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
301 OLD MARLTON PIKE, SUITE 1, Marlton, NJ 08053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael A Falk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Falk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC
0.7 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Michael Falk's NPI number?

The NPI number for Michael Falk is 1316905425. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Michael Falk located?

Michael Falk practices at 301 Old Marlton Pike, Suite 1, Marlton, NJ 08053. The listed phone number is (856) 988-9101.

What is Michael Falk's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Falk enrolled in Medicare?

Yes. Michael Falk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Falk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Falk reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). 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 Michael Falk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Falk accept?

Health plans from Oscar Health list Michael 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 Michael Falk was last updated on July 5, 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.