DR. JOSEPH CHRISTOPHER DEFAZIO DO
NPI 1285259960
Family Medicine in Pittsburgh, PA

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
5140 LIBERTY AVE STE 150, PITTSBURGH, PA 15224(412) 315-0407(412) 315-0408 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2023, Jun 9, 2020 (2 updates tracked since 2020).

About Dr. Joseph Christopher Defazio Do NPPES

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

DR. JOSEPH CHRISTOPHER DEFAZIO DO (NPI 1285259960) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS023092) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1285259960
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH CHRISTOPHER DEFAZIOCredential: DO
Location Address5140 LIBERTY AVE STE 150Pittsburgh, PA 15224-2215
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410
Fax(412) 315-0408
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020
Enumeration DateJune 9, 2020
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1285259960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS023092
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5140 LIBERTY AVE STE 150, Pittsburgh, PA 15224

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. Joseph Christopher Defazio 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 ID749603892
PECOS Enrollment IDI20231218001375
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 Joseph Defazio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
5140 LIBERTY AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
Internal Medicine
5215 CENTRE AVE, FIRST FLOOR
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 4

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

Internal Medicine
5140 LIBERTY AVE STE 150
PITTSBURGH, PA 15224
Family Medicine
5140 LIBERTY AVE STE 150
PITTSBURGH, PA 15224
Nurse Practitioner (Primary Care)
5140 LIBERTY AVE STE 150
PITTSBURGH, PA 15224
Family Medicine
5140 LIBERTY AVE STE 150
PITTSBURGH, PA 15224

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 Joseph Defazio's NPI number?

The NPI number for Joseph Defazio is 1285259960. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Joseph Defazio located?

Joseph Defazio practices at 5140 Liberty Ave Ste 150, Pittsburgh, PA 15224. The listed phone number is (412) 315-0407.

What is Joseph Defazio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Defazio enrolled in Medicare?

Yes. Joseph Defazio 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 Joseph Defazio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Defazio reassigns Medicare benefits to 2 organizations: Upmc Community Medicine Inc (Pittsburgh, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Joseph Defazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joseph Defazio affiliated with any hospitals?

According to CMS data, Joseph Defazio is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Joseph Defazio was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.