DUSTIN MICHAEL DEFRANCISIS PA-C
NPI 1073169595
Physician Assistant in Clarion, PA

Q: What is Dustin Defrancisis's NPI number?

The NPI number for Dustin Defrancisis is 1073169595. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Q: What is Dustin Defrancisis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 12, 2019PECOS EnrolledAccepts Medicare Assignment

96.66/100

CMS Quality Rating

22681 ROUTE 68, CLARION, PA 16214(814) 227-1221 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dustin Michael Defrancisis Pa-c NPPES

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

DUSTIN MICHAEL DEFRANCISIS PA-C (NPI 1073169595) is an individual physician assistant in Clarion, Pennsylvania, licensed in Pennsylvania (OA004871) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Acmh Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073169595

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDUSTIN MICHAEL DEFRANCISISCredential: PA-C

Location Address22681 ROUTE 68Clarion, PA 16214-4019

Mailing Address22681 Route 68Clarion, PA 16214-4019 · (814) 227-1221

Phone(814) 227-1221

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 12, 2019

✔ NPI 1073169595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · OA004871

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

22681 ROUTE 68, Clarion, PA 16214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dustin Michael Defrancisis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698006369

PECOS Enrollment IDI20191010000805

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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 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.

12 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Acmh Hospital

Acute Care Hospitals · Kittanning, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390163

LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County

Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16214 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

96.66/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

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Nurse Practitioner