KARL J FALK (DO) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1376694679
Neuromusculoskeletal Medicine & OMM Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 GENERAL PRACTICE in PA
Provider Addresses for KARL J FALK (DO)
2010 W 38TH ST UPPR LVL
ERIE, PA 165082004
Phone: (814) 866-6835
Fax: (814) 866-6837
Type: Location
5215, Peach Street, Kearsarge, Millcreek Township, Erie County, Pennsylvania, 16509, United States
ERIE, PA 165092419
Phone: (814) 866-8610
Fax: (814) 866-8614
Type: Location
Lecom Place, Frontier, Erie, Erie County, Pennsylvania, 16502, United States
ERIE, PA 165052571
Phone:
Fax: (814) 868-2522
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABBVIE INC. ($244).
Total Amount
$333
General + Research + Ownership
Payments
17
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040812000253 | I | General Practice | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 30 | 11 | $0 |
Insurance plans in this area (ZIP 16508)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Colorectal Surgery (Proctology) | PA | |
| - | WV | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Internal Medicine, Addiction Medicine | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Vascular Surgery | PA |
Reviews
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