Karisa Falden, DO
NPI 1982101440ActiveIndividual· Family Medicine· Marathon, FL
Opted out of Medicare from April 2026 to April 2028. Family Medicine (DO) in Marathon, Florida, licensed in FL, with an NPI issued in April 2018. Their prescriptions cost Medicare Part D more than their services did: $133,373 for 1,559 claims, against $11,994 paid for services in 2024. Dexcom, Inc. was the largest of 3 companies reporting payments in 2025, $140.49 in all, mostly food and beverage.
Overview
| NPI | 1982101440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 11, 2018 |
| Last updated in NPPES | Jan 30, 2022 |
| Certified by provider | Jan 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS17881 | FL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2026 – Apr 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 140 |
|---|---|
| Services billed | 258 across 18 procedure codes |
| Paid by Medicare | $11,994 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,559 · 3,973 30-day fills |
|---|---|
| Patients | 291 |
| Total drug cost | $133,373 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2025$140.49 · 3 payments from 3 companies
- 2024$20.83 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $90.00 | 1 |
| Lilly USA, LLC | $25.56 | 1 |
| Novo Nordisk Inc | $24.93 | 1 |
What the 2025 payments were for
- Food and Beverage$140.49 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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