FRANCIS FRABONI II MD
NPI 1104315415
Family Medicine in Nags Head, NC

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
4917 S CROATAN HWY STE 1A, NAGS HEAD, NC 27959(252) 449-6160 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Aug 5, 2022, Feb 28, 2022 and 1 more (4 updates tracked since 2018).

About Francis Fraboni Ii Md NPPES

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

FRANCIS FRABONI II MD (NPI 1104315415) is an individual family medicine provider in Nags Head, North Carolina, licensed in North Carolina (202500189) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104315415
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRANCIS FRABONI IICredential: MD
Location Address4917 S CROATAN HWY STE 1ANags Head, NC 27959-8996
Mailing Address4917 S Croatan Hwy Ste 1aNags Head, NC 27959-8996 · (252) 449-6160
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 2, 2018
Last NPPES UpdateSeptember 25, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
NPI 1104315415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 202500189
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4917 S CROATAN HWY STE 1A, Nags Head, NC 27959

Accepted 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

Francis Fraboni Ii Md 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 ID4789930777
PECOS Enrollment IDI20250422000901
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 7

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.
527 services323 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
332 services247 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
300 services210 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.
192 services192 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27959 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Family Medicine
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959
Physician Assistant
4917 S CROATAN HWY STE 1A
NAGS HEAD, NC 27959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Francis Fraboni's NPI number?

The NPI number for Francis Fraboni is 1104315415. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Francis Fraboni located?

Francis Fraboni practices at 4917 S Croatan Hwy Ste 1A, Nags Head, NC 27959. The listed phone number is (252) 449-6160.

What is Francis Fraboni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Francis Fraboni enrolled in Medicare?

Yes. Francis Fraboni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Francis Fraboni accept?

Health plans from AvMed, Blue Cross and Blue Shield of NC and UnitedHealthcare list Francis Fraboni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Francis Fraboni affiliated with any hospitals?

According to CMS data, Francis Fraboni is affiliated with Sentara Albemarle Medical Center and The Outer Banks Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Francis Fraboni was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.