DR. EMILY A DEFRANCO DO
NPI 1164635553
Obstetrics & Gynecology - Maternal & Fetal Medicine in Lexington, KY

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
125 E MAXWELL ST STE 140, LEXINGTON, KY 40508(859) 323-0005(859) 323-0790 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2023, Apr 15, 2022, Nov 16, 2017 (3 updates tracked since 2017).

About Dr. Emily A Defranco Do NPPES

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

DR. EMILY A DEFRANCO DO (NPI 1164635553) is an individual maternal & fetal medicine provider in Lexington, Kentucky, licensed in Kentucky (02590) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Physicians And Surgeons (1998).

NPPES Registry Identity

NPI1164635553
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. EMILY A DEFRANCOCredential: DO
Location Address125 E MAXWELL ST STE 140Lexington, KY 40508-2678
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-0001 · (513) 585-5505 · Fax (513) 585-5511
Fax(859) 323-0790
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1998
Enumeration DateMay 8, 2007
Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
NPI 1164635553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses Licensed in KY · 02590 Licensed in OH · 34 009377
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 34-009377 (OH), 2005006928 (MO)
125 E MAXWELL ST STE 140, Lexington, KY 40508

Other Identifiers 1

Medicaid205471402MO

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

Dr. Emily A Defranco Do 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 ID244339125
PECOS Enrollment IDI20080902000450
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 40508 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Other Providers at the Same Location NPPES 12

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

Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508

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 Emily Defranco's NPI number?

The NPI number for Emily Defranco is 1164635553. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Emily Defranco located?

Emily Defranco practices at 125 E Maxwell St Ste 140, Lexington, KY 40508. The listed phone number is (859) 323-0005.

What is Emily Defranco's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Emily Defranco enrolled in Medicare?

Yes. Emily Defranco 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 Emily Defranco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and MedMutual and 1 other insurer list Emily Defranco 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.

When was this NPI record last updated?

The NPPES record for Emily Defranco was last updated on November 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.