Theodore Falk, MD
NPI 1912967464 · Allergy & Immunology Physician · River Edge, NJ
Enrolled with Medicare as Practitioner - Allergy/Immunology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Falk, MD is a Allergy & Immunology Physician provider in River Edge, NJ (NPI 1912967464).
Provider details
- NPI number
- 1912967464
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA40562 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
12,622 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Professional Service for Preparation and Provision of 1 Or More Antigens95165 | 6,783 | $16 |
| Test for Allergy Using Allergenic Extract95004 | 2,276 | $4 |
| Professional Service for Multiple Injections of Allergen95117 | 1,414 | $14 |
| Test for Allergy Using Allergenic Extract Injected Into Skin95024 | 705 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 657 | $97 |
| Test to Measure Expiratory Airflow and Volume94010 | 223 | $31 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Montelukast Sodium | 179 | 44 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 134 | 76 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 127 | 35 |
| Fluticasone Propionate | 123 | 52 |
| Azelastine Hcl | 115 | 50 |
| Fluticasone Propion/Salmeterolbrand: Advair Hfa | 113 | 23 |
| Fluticasone/Umeclidin/Vilanter |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,132 across 123 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodore Falk's NPI number?
- Theodore Falk's National Provider Identifier (NPI) is 1912967464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Falk's specialty?
- Theodore Falk is listed in the NPPES registry with a primary specialty of Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Falk located?
- Theodore Falk's practice location on file with NPPES is 63 Grand Ave, River Edge, NJ 07661.
- What is Theodore Falk's phone number?
- The practice phone number listed in the NPPES registry for Theodore Falk is (201) 487-2900.
- Does Theodore Falk accept Medicare?
- Theodore Falk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Falk's NPI active?
- Yes — Theodore Falk's NPI (1912967464) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.