CALVIN EDWARD DEFENBAU IV NP-C
NPI 1265927362
Nurse Practitioner - Family in Gainesville, GA

Q: What is Calvin Defenbau's NPI number?

The NPI number for Calvin Defenbau is 1265927362. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Q: What is Calvin Defenbau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Calvin Defenbau was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 30, 2018PECOS EnrolledAccepts Medicare Assignment

76.58/100

CMS Quality Rating

725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(678) 207-4373(770) 533-4727 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2021, Jul 10, 2018, Jun 30, 2018 (3 updates tracked since 2018).

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About Calvin Edward Defenbau Iv Np-c NPPES

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

CALVIN EDWARD DEFENBAU IV NP-C (NPI 1265927362) is an individual family provider in Gainesville, Georgia, licensed in Georgia (APRN-NP209756) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265927362

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCALVIN EDWARD DEFENBAU IVCredential: NP-C

Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834

Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4786

Phone(678) 207-4373

Fax(770) 533-4727

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 30, 2018

Last NPPES UpdateOctober 30, 20253 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1265927362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP209756

Also ListedRegistered NurseTaxonomy 163W00000X · License RN209756 (GA)

725 JESSE JEWELL PKWY SE, Gainesville, GA 30501

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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

Calvin Edward Defenbau Iv Np-c 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 ID2769721471

PECOS Enrollment IDI20190225001193

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 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.

284 services262 patients

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.

71 services70 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

76.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.63

Promoting Interoperability

Improvement Activities

Cost

72.14

Other Providers at the Same Location NPPES 20

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

THE LONGSTREET CLINIC, PC

Clinical Medical Laboratory

725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501

Hall County (770) 535-0079

EILEEN JAVELLANA MD

Internal Medicine