2026 NPPES data Colon & Rectal Surgery Physician NPI 1053424853 MD
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PETER FALK, MD

Colon & Rectal Surgery Physician in GREEN BAY, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
122
Medicare Part D claims · 67 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6154/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: PETER FALK, MD is a Colon & Rectal Surgery Physician ([object Object]) practicing in GREEN BAY, Wisconsin with a Medicare Part D prescribing footprint of 122 claims across 67 beneficiaries — 30% brand-name prescribing . Their CMS MIPS Final Score of 94.6154/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PETER FALK, MD reported a CMS MIPS final score of 94.6154 out of 100, above the 83.1 national average, and filed 122 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PETER FALK, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PETER FALK, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/16/2006

NPI 1053424853

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

122 38% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

94.6154/100 11.5154% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Colon & Rectal Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Colon & Rectal Surgery Physician share within Wisconsin

1. Colon & Rectal Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Colon & Rectal Surgery Physician share within Wisconsin

Medicare quality performance — MIPS

PETER FALK, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

High performer (top quartile)
MIPS Final Score
94.6154/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) — 94.6154/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Colon & Rectal Surgery Physician) — 94.6154/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PETER FALK, MD is a Colon & Rectal Surgery Physician provider practicing in GREEN BAY, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053424853. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PETER FALK, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 670 CORMIER ROAD, GREEN BAY, WI, 54304, with a listed phone of (920) 494-9685. NPI 1053424853 was issued on 08/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FALK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 122 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $5K in drug spend, split 30% brand-name and 70% generic by claim count, with an opioid prescribing rate of 20.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6154/100 for the 2023 performance year (Quality 85.1795), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

670 CORMIER ROAD
GREEN BAY, WI 54304

Provider Details

NPI 1053424853
Specialty Colon & Rectal Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/16/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PETER FALK, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
GREEN BAY, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

PETER FALK, MD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 122 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

122
Total Claims
$5K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
148
Total Day Supply
2,313
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$3K
Generic Drug Cost
$2K
Opioid Claims
25 (20.5% rate)
Antibiotic Claims
34

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.63
Gender Split
42% female / 58% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
32
Ciprofloxacin Hcl
18
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Colon & Rectal Surgery Physician Overview

How PETER FALK, MD fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

PETER FALK, MD's 122 claims are below the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as FALK.

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER FALK, MD's specialty?
PETER FALK, MD specializes in Colon & Rectal Surgery Physician and practices in GREEN BAY, Wisconsin. Credentials: MD.
How much does PETER FALK, MD prescribe under Medicare Part D?
In 2023, PETER FALK, MD wrote 122 Medicare Part D claims totaling $5K in drug costs for 67 beneficiaries.
What is PETER FALK, MD's Medicare quality score?
PETER FALK, MD has a CMS MIPS Final Score of 94.6154/100 (Quality: 85.1795). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER FALK, MD located?
PETER FALK, MD is located at 670 CORMIER ROAD, GREEN BAY, WI, 54304. Phone: (920) 494-9685.
What is PETER FALK, MD's NPI number?
PETER FALK, MD's National Provider Identifier (NPI) is 1053424853, issued on 08/16/2006.
Does PETER FALK, MD prescribe more brand-name or generic drugs?
PETER FALK, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $3K in brand drug costs.
Does PETER FALK, MD prescribe opioids?
Yes, PETER FALK, MD had 25 opioid claims in 2023 with an opioid prescribing rate of 20.5%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does PETER FALK, MD prescribe most often?
Based on 2023 Medicare Part D data, PETER FALK, MD's most frequently prescribed drugs include Peg 3350-Electrolyte, Ciprofloxacin Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER FALK, MD accept Medicare?
PETER FALK, MD appears in CMS Medicare data with 122 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER FALK, MD's credentials?
PETER FALK, MD's NPI is 1053424853 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology