KARISA FALDEN DO
NPI 1982101440
Family Medicine in Marathon, FL

Q: What is Karisa Falden's NPI number?

The NPI number for Karisa Falden is 1982101440. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Q: What is Karisa Falden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Karisa Falden enrolled in Medicare?

No. Karisa Falden has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Karisa Falden was last updated on January 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 11, 2018Opted out of Medicare · through Apr 1, 2028

99.93/100

CMS Quality Rating

5701 OVERSEAS HWY STE 17, MARATHON, FL 33050(305) 434-1000(305) 743-0962 Get Directions Write a Review

NPPES record last updated: January 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 30, 2022, Jul 13, 2021, Apr 11, 2018 (3 updates tracked since 2018).

On this page

About Karisa Falden Do NPPES

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

KARISA FALDEN DO (NPI 1982101440) is an individual family medicine provider in Marathon, Florida, licensed in Florida (OS17881) and active in the NPI registry since April 2018. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982101440

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKARISA FALDENCredential: DO

Location Address5701 OVERSEAS HWY STE 17Marathon, FL 33050-2784

Mailing AddressPo Box 100707Atlanta, GA 30384-0707

Phone(305) 434-1000

Fax(305) 743-0962

Sole ProprietorNo

Enumeration DateApril 11, 2018

Last NPPES UpdateJanuary 30, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2022

✔ NPI 1982101440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS17881

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5701 OVERSEAS HWY STE 17, Marathon, FL 33050

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karisa Falden Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 4

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 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.

62 services57 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

61 services55 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.

53 services47 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33050 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

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.

99.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.3

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

DR. CECILE S. MUEHRCKE M.D.

Internal Medicine