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: July 19, 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 St John Hospital, 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
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

Other Identifiers 3

Medicare PIN0P62930004MI
Medicare UPINH46392
Other0H231320MI · Blue Cross Group

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. 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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
41 services38 patients
New patient office or other outpatient visit, 45-59 minutes 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.
37 services37 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.
31 services28 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.
26 services26 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.
26 services26 patients
New patient office or other outpatient visit, 30-44 minutes 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

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.

Pediatrics (Pediatric Hematology-Oncology)
19229 MACK AVE
GROSSE POINTE WOODS, MI 48236
Pediatrics (Pediatric Hematology-Oncology)
19229 MACK AVE
GROSSE POINTE WOODS, MI 48236
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, SUITE 34
GROSSE POINTE WOODS, MI 48236
Registered Nurse (Pediatric Oncology)
19229 MACK AVE, #28
GROSSE POINTE WOODS, MI 48236
Surgery
19229 MACK AVE, STE 34
GROSSE POINTE WOODS, MI 48236
Specialist
19229 MACK AVE, SUITE 38
GROSSE POINTE WOODS, MI 48236
Specialist
19229 MACK AVE, SUITE 38
GROSSE POINTE WOODS, MI 48236
Surgery
19229 MACK AVE, SUITE 34
GROSSE POINTE, MI 48236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700859055, enumerated as an "individual" on February 08, 2006.

The provider is located at 19229 MACK AVE SUITE 34 GROSSE POINTE WOODS, MI 48236 and the phone number is (313) 647-3900.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Jeffrey Falk is affiliated with: ASCENSION ST JOHN HOSPITAL, ASCENSION MACOMB OAKLAND HOSP-WARREN CAMPUS and ASCENSION PROVIDENCE ROCHESTER HOSPITAL.