DR. LORI ANN DEFREEST MD, PHD
NPI 1295969574
Surgery in Albany, NY

Active since May 14, 2009PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
47 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-2000 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Lori Ann Defreest Md, Phd NPPES

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

DR. LORI ANN DEFREEST MD, PHD (NPI 1295969574) is an individual surgery provider in Albany, New York, licensed in New York (278120) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Albany Medical College Of Union University (2009).

NPPES Registry Identity

NPI1295969574
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. LORI ANN DEFREESTCredential: MD, PHD
Location Address47 NEW SCOTLAND AVEAlbany, NY 12208-3412
Mailing Address47 New Scotland AveAlbany, NY 12208-3412 · (518) 262-2000
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2009
Enumeration DateMay 14, 2009
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
NPI 1295969574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 278120
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 62821 (NY)
47 NEW SCOTLAND AVE, Albany, NY 12208

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

Dr. Lori Ann Defreest Md, Phd 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 ID3870801004
PECOS Enrollment IDI20151007002223
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.

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.
217 services119 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.
79 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
70 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

Psychiatric Hospital
47 NEW SCOTLAND AVE, PSYCHIATRY DEPARTMENT
ALBANY, NY 12208
Physician Assistant (Medical)
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE, DEPARTMENT OF OTOLARYNGOLOGY
ALBANY, NY 12208
Physician Assistant
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Surgery
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Nurse Practitioner
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Radiology (Neuroradiology)
47 NEW SCOTLAND AVE, RADIOLOGY DEPT
ALBANY, NY 12208
Emergency Medicine
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE
ALBANY, NY 12208

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 Lori Defreest's NPI number?

The NPI number for Lori Defreest is 1295969574. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Lori Defreest located?

Lori Defreest practices at 47 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-2000.

What is Lori Defreest's specialty?

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

Is Lori Defreest enrolled in Medicare?

Yes. Lori Defreest 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 Lori Defreest affiliated with any hospitals?

According to CMS data, Lori Defreest is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Lori Defreest was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.