ALBERT B DEFRANCO MD
NPI 1114992351
Family Medicine in Wind Gap, PA
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
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Albert B Defranco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Albert Defranco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wind Gap, PA 18091
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Albert Defranco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Albert Defranco reassigns Medicare benefits to St. Luke's Physician Group, Inc. (Wind Gap, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Albert Defranco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Albert B Defranco, MD · NPI 1114992351
Family Medicine physician in Wind Gap, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 21, 2006.
## Identity
- **NPI:** 1114992351 (Entity type: Individual)
- **Enumerated:** February 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD040815L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 497 BUSHKILL PLAZA LN, Wind Gap, PA 18091-9665
- **Phone:** (610) 863-7020 · **Fax:** (610) 863-5504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Luke's Physician Group, Inc. (NPI 1063463701, Wind Gap, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2009
- **Other identifiers:** Medicare UPIN B42146 (PA); Medicaid 0010545340003 (PA); Medicare PIN 474320 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114992351) · Data from the CMS NPPES public registry.