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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: November 01, 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, maintains 2 additional practice locations, 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
Phone(859) 323-0005
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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13533 Southern Blvd Ste 3750Kettering, OH 45429-1268 · Phone (937) 610-3220 · Fax (937) 610-3225
Location 2234 Goodman St, Perinatal Treatment CtrCincinnati, OH 45219-2364 · Phone (513) 584-5239 · Fax (513) 584-0635

Other Identifiers 1

Medicaid205471402MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emily Defranco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
0.6 mi
Adult Medicine
217 ELM TREE LN
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1881641769 (859) 257-7920
Kentucky Medical Services Foundation, Inc
3.9 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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 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.

GEORGE KURIAN THOMAS M.D.
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005
DR. SARAH LEDERHANDLER KLUCK MD
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005
FREDERICK ZACHMAN MD
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005
CANDICE CHENIER SNYDER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005
MIRIAM BROWN MARCUM MD
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005
ANDREW TODD GREENE DO
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005
JOHNIE JOSEPH COOPER JR. M.D.
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005
DR. BRYAN KEITH RONE M.D.
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Fayette County (859) 323-0005

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.

Which organizations bill Medicare for Emily Defranco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Defranco reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). Each 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 Emily Defranco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Defranco accept?

Health plans from Anthem Blue Cross and Blue Shield 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.