DR. LANCE C DEFRANCISCO M.D.
NPI 1306864400
Internal Medicine - Gastroenterology in Altoona, PA

Active since July 17, 2006PECOS Enrolled
94.72/100
CMS Quality Rating
810 VALLEY VIEW BLVD, ALTOONA, PA 16602(814) 946-5469(814) 946-4970 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lance C Defrancisco M.d. NPPES

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

DR. LANCE C DEFRANCISCO M.D. (NPI 1306864400) is an individual gastroenterology provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD024376E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306864400
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. LANCE C DEFRANCISCOCredential: M.D.
Location Address810 VALLEY VIEW BLVDAltoona, PA 16602-6342
Mailing Address810 Valley View BlvdAltoona, PA 16602-6342 · (814) 946-5469 · Fax (814) 946-4970
Fax(814) 946-4970
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 12, 2013
✔ NPI 1306864400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD024376E
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
810 VALLEY VIEW BLVD, Altoona, PA 16602

Other Identifiers 4

Medicare UPINB36797PA
Medicare ID-Type Unspecified109454F7PPA · Medicare Provider Number
Medicaid0009737400001PA
Medicare PIN109454PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lance C Defrancisco M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lance Defrancisco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
810 VALLEY VIEW BLVD
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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.

94.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.41
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
810 VALLEY VIEW BLVD
ALTOONA, PA 16602
Physician Assistant (Medical)
810 VALLEY VIEW BLVD
ALTOONA, PA 16602
Clinic/Center (Endoscopy)
810 VALLEY VIEW BLVD
ALTOONA, PA 16602
Nurse Anesthetist, Certified Registered
810 VALLEY VIEW BLVD
ALTOONA, PA 16602
Physician Assistant (Medical)
810 VALLEY VIEW BLVD
ALTOONA, PA 16602
Internal Medicine (Gastroenterology)
810 VALLEY VIEW BLVD
ALTOONA, PA 16602
Physician Assistant
810 VALLEY VIEW BLVD
ALTOONA, PA 16602
Physician Assistant
810 VALLEY VIEW BLVD
ALTOONA, PA 16602

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 Lance Defrancisco's NPI number?

The NPI number for Lance Defrancisco is 1306864400. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Lance Defrancisco located?

Lance Defrancisco practices at 810 Valley View Blvd, Altoona, PA 16602. The listed phone number is (814) 946-5469.

What is Lance Defrancisco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lance Defrancisco enrolled in Medicare?

Yes. Lance Defrancisco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lance Defrancisco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lance Defrancisco reassigns Medicare benefits to Blair Gastroenterology Associates (Altoona, PA). The 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 Lance Defrancisco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lance Defrancisco was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.