DR. CRAIG ROBERT FOLSOM M.D.
NPI 1558637975
Otolaryngology in Boca Raton, FL

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
1601 CLINT MOORE RD STE 105, BOCA RATON, FL 33487(561) 391-3333(561) 391-5618 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2022, Nov 18, 2021, Jul 2, 2018 (3 updates tracked since 2018).

About Dr. Craig Robert Folsom M.d. NPPES

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

DR. CRAIG ROBERT FOLSOM M.D. (NPI 1558637975) is an individual otolaryngology provider in Boca Raton, Florida, licensed in Florida (ME152206) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1558637975
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. CRAIG ROBERT FOLSOMCredential: M.D.
Location Address1601 CLINT MOORE RD STE 105Boca Raton, FL 33487-5712
Mailing Address1601 Clint Moore Rd Ste 105Boca Raton, FL 33487-5712 · (561) 391-3333 · Fax (561) 391-5618
Fax(561) 391-5618
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateJune 9, 20223 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1558637975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in FL · ME152206 Licensed in VA · 0101254433
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1601 CLINT MOORE RD STE 105, Boca Raton, FL 33487

Secondary Practice Location 1

Location 1620 John Paul Jones CirPortsmouth, VA 23708 · Phone (757) 953-0669

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. Craig Robert Folsom M.d. 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 ID2466798491
PECOS Enrollment IDI20220506000598
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 27

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
870 services13 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.
767 services459 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
678 services417 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
675 services401 patients
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.
586 services376 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
440 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33487 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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 9

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

Audiologist
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487
Audiologist
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487
Audiologist
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487
Otolaryngology
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487
Audiologist
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487
Otolaryngology
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487
Audiologist
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487
Audiologist
1601 CLINT MOORE RD STE 105
BOCA RATON, FL 33487

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 Craig Folsom's NPI number?

The NPI number for Craig Folsom is 1558637975. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Craig Folsom located?

Craig Folsom practices at 1601 Clint Moore Rd Ste 105, Boca Raton, FL 33487. The listed phone number is (561) 391-3333.

What is Craig Folsom's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Craig Folsom enrolled in Medicare?

Yes. Craig Folsom 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 Craig Folsom accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Craig Folsom 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 Craig Folsom affiliated with any hospitals?

According to CMS data, Craig Folsom is affiliated with Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Folsom was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.