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DR. JEFFREY SCOTT FALK MD
NPI 1700859055
Surgery in Grosse Pointe Woods, MI

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
19229 MACK AVE, SUITE 34, GROSSE POINTE WOODS, MI 48236(313) 647-3900(313) 647-3902 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Scott Falk Md NPPES

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

DR. JEFFREY SCOTT FALK MD (NPI 1700859055) is an individual surgery provider in Grosse Pointe Woods, Michigan, licensed in Michigan (4301061424) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of University Of Cincinnati College Of Medicine (1993).

NPPES Registry Identity

NPI1700859055
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JEFFREY SCOTT FALKCredential: MD
Location Address19229 MACK AVE, SUITE 34Grosse Pointe Woods, MI 48236-2858
Mailing Address19229 Mack Ave, 38Grosse Pointe Woods, MI 48236-2858 · (313) 647-3912 · Fax (313) 647-3902
Phone(313) 647-3900
Fax(313) 647-3902
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1993
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJanuary 21, 2015
✔ NPI 1700859055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301061424
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
19229 MACK AVE, Grosse Pointe Woods, MI 48236
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Other Identifiers 3

Medicare PIN0P62930004MI
Medicare UPINH46392
Other0H231320MI · Blue Cross Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Jeffrey Scott 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 ID6608961156
PECOS Enrollment IDI20070928000528
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 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.
42 services38 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
27 services25 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.
24 services24 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
15 services15 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.71
Promoting Interoperability100
Improvement Activities40
Cost65.3

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
73%326 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
37%415 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
37%376 patients2/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
63%346 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
45%690 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%690 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%690 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
52%690 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

AMR M AREF MD
Radiology (Radiation Oncology)
19229 MACK AVE, SUITE 10
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3100
AYAD M. AL-KATIB MD
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, SUITE 34
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3245
ZYAD KAFRI MD
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, SUITE 23
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3245
CHARLENE L. SEBEST P.A.-C
Physician Assistant (Medical)
19229 MACK AVE, SUITE 24
GROSSE POINTE, MI 48236
Wayne County (313) 884-5522
GHAZAL ALMRADI MS
Genetic Counselor, MS
19229 MACK AVE, SUITE 18
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3924
DR. JOHN ELLIOTT BOCCACCIO M.D.
Specialist
19229 MACK AVE, SUITE 38
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 885-1520
ST JOHN HOSPITAL AND MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, 24
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5522
CHERYL A WESEN MD
Surgery
19229 MACK AVE, STE 34
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3912

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 Jeffrey Falk's NPI number?

The NPI number for Jeffrey Falk is 1700859055. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Jeffrey Falk located?

Jeffrey Falk practices at 19229 Mack Ave Suite 34, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 647-3900.

What is Jeffrey Falk's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jeffrey Falk enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Falk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jeffrey 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.

Is Jeffrey Falk affiliated with any hospitals?

According to CMS data, Jeffrey Falk is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Macomb Hospital, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Falk was last updated on January 21, 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.