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ALBERT B DEFRANCO MD
NPI 1114992351
Family Medicine in Wind Gap, PA

Active since February 21, 2006PECOS Enrolled
497 BUSHKILL PLAZA LN, WIND GAP, PA 18091(610) 863-7020(610) 863-5504 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Albert B Defranco Md NPPES

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

ALBERT B DEFRANCO MD (NPI 1114992351) is an individual family medicine provider in Wind Gap, Pennsylvania, licensed in Pennsylvania (MD040815L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114992351
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALBERT B DEFRANCOCredential: MD
Location Address497 BUSHKILL PLAZA LNWind Gap, PA 18091-9665
Mailing Address497 Bushkill Plaza LnWind Gap, PA 18091-9665 · (610) 863-7020 · Fax (610) 863-5504
Phone(610) 863-7020
Fax(610) 863-5504
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateFebruary 9, 2009
✔ NPI 1114992351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD040815L
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.
497 BUSHKILL PLAZA LN, Wind Gap, PA 18091
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Other Identifiers 3

Medicare UPINB42146PA
Medicaid0010545340003PA
Medicare PIN474320PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albert B Defranco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18091 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 2

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

ST. LUKE'S PHYSICIAN GROUP, INC.
Family Medicine
497 BUSHKILL PLAZA LN
WIND GAP, PA 18091
Northampton County (610) 863-7020
ELLEN MARIE DIDIMAMOFF MD
Family Medicine
497 BUSHKILL PLAZA LN
WIND GAP, PA 18091
Northampton County (610) 863-7020

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 Albert Defranco's NPI number?

The NPI number for Albert Defranco is 1114992351. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Albert Defranco located?

Albert Defranco practices at 497 Bushkill Plaza Ln, Wind Gap, PA 18091. The listed phone number is (610) 863-7020.

What is Albert Defranco's specialty?

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

Is Albert Defranco enrolled in Medicare?

Yes. Albert Defranco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Albert Defranco was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.