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ANN MARIE DEFNET M.D.
NPI 1215298872
Surgery in New York, NY

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1060 5TH AVE # 1B, NEW YORK, NY 10128(212) 988-8269(914) 259-8313 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 11, 2025, Aug 4, 2020, Jul 17, 2019 and 1 more (4 updates tracked since 2019).

About Ann Marie Defnet M.d. NPPES

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

ANN MARIE DEFNET M.D. (NPI 1215298872) is an individual surgery provider in New York, New York, licensed in New York (304743) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Astoria.

NPPES Registry Identity

NPI1215298872
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameANN MARIE DEFNETCredential: M.D.
Location Address1060 5TH AVE # 1BNew York, NY 10128-0104
Mailing Address1060 5th Ave # 1bNew York, NY 10128-0104 · (212) 988-8269 · Fax (914) 259-8313
Phone(212) 988-8269
Fax(914) 259-8313
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2012
Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1215298872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 304743
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1060 5TH AVE # 1B, New York, NY 10128
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Secondary Practice Location 1

Location 13016 30th Dr Fl 3Astoria, NY 11102-1874 · Phone (718) 626-0707

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

Ann Marie Defnet M.d. 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 ID7315240124
PECOS Enrollment IDI20200930003714
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MIRHEE KIM
Surgery
1060 5TH AVE # 1B
NEW YORK, NY 10128
New York County (212) 988-8269
DR. MINA AZIZ IBRAHIM M.D.
Surgery
1060 5TH AVE # 1B
NEW YORK, NY 10128
New York County (212) 988-8269
MATTHEW JUNG DO
Surgery
1060 5TH AVE # 1B
NEW YORK, NY 10128
New York County (212) 988-8269

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 Ann Defnet's NPI number?

The NPI number for Ann Defnet is 1215298872. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Ann Defnet located?

Ann Defnet practices at 1060 5th Ave # 1B, New York, NY 10128. The listed phone number is (212) 988-8269.

What is Ann Defnet's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ann Defnet enrolled in Medicare?

Yes. Ann Defnet 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.

Is Ann Defnet affiliated with any hospitals?

According to CMS data, Ann Defnet is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Ann Defnet was last updated on November 11, 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.