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DOMINICK DEFRANCES
NPI 1255301123
Internal Medicine in Natrona Heights, PA

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
1719 UNION AVE, NATRONA HEIGHTS, PA 15065(724) 226-2128 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominick Defrances NPPES

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

DOMINICK DEFRANCES (NPI 1255301123) is an individual internal medicine provider in Natrona Heights, Pennsylvania, licensed in Pennsylvania (OS011933) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1255301123
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOMINICK DEFRANCES
Location Address1719 UNION AVENatrona Heights, PA 15065-2146
Mailing Address1719 Union AveNatrona Heights, PA 15065-2104
Phone(724) 226-2128
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1255301123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS011933
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1719 UNION AVE, Natrona Heights, PA 15065
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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

Dominick Defrances 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 ID6204862055
PECOS Enrollment IDI20050713000055
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
50 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15065 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. CATHERINE L EAGON MD
Internal Medicine
1719 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-2128
MOLAKALMURU VAMADEVAMURTHY MD
Internal Medicine
1719 UNION AVE, SUITE A
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-2128
DR. HEATHER M HANZLIK MD
Internal Medicine
1719 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-2128
ALLEGHENY MEDICAL PRACTICE NETWORK
Internal Medicine
1719 UNION AVE, SUITE A
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-2128
ABIGAIL LISK
Dietitian, Registered
1719 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-2128
ALLEGHENY CLINIC
Internal Medicine
1719 UNION AVE, SUITE A
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-2128

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 Dominick Defrances's NPI number?

The NPI number for Dominick Defrances is 1255301123. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Dominick Defrances located?

Dominick Defrances practices at 1719 Union Ave, Natrona Heights, PA 15065. The listed phone number is (724) 226-2128.

What is Dominick Defrances's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dominick Defrances enrolled in Medicare?

Yes. Dominick Defrances 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 Dominick Defrances affiliated with any hospitals?

According to CMS data, Dominick Defrances is affiliated with Allegheny Valley Hospital, Upmc St Margaret and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Dominick Defrances was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.