DAVID DEFRANCISCO MD
NPI 1366897209
Internal Medicine - Rheumatology in Denver, CO

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
77.17/100
CMS Quality Rating
7111 E LOWRY BLVD STE 200, DENVER, CO 80230(303) 394-2828(303) 320-0242 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Jul 25, 2024, Jun 12, 2022 and 1 more (4 updates tracked since 2019).

About David Defrancisco Md NPPES

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

DAVID DEFRANCISCO MD (NPI 1366897209) is an individual rheumatology provider in Denver, Colorado, licensed in Colorado (DR.0068237) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Drexel University College Of Medicine (2016).

NPPES Registry Identity

NPI1366897209
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDAVID DEFRANCISCOCredential: MD
Location Address7111 E LOWRY BLVD STE 200Denver, CO 80230-7360
Mailing Address7111 E Lowry Blvd Ste 200Denver, CO 80230-7360 · (303) 394-2828 · Fax (303) 320-0242
Fax(303) 320-0242
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2016
Enumeration DateApril 28, 2016
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1366897209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CO · DR.0068237
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0068237 (CO)
Also ListedHospitalistTaxonomy 208M00000X · License DR.0068237 (CO)
7111 E LOWRY BLVD STE 200, Denver, CO 80230

Secondary Practice Locations 3

Location 11635 Aurora CtAurora, CO 80045-2541 · Phone (303) 724-7605
Location 2509 Biltmore AveAsheville, NC 28801-4601 · Phone (828) 213-8587
Location 330 N 1900 ESalt Lake City, UT 84132-0002 · Phone (801) 581-7899

Accepted Insurance

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

David Defrancisco Md 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 ID6608132048
PECOS Enrollment IDI20220608000019
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
16 services16 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
16 services16 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80230 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

77.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.27
Promoting Interoperability81
Improvement Activities40
Cost59.47

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Specialist
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230
Internal Medicine (Rheumatology)
7111 E LOWRY BLVD STE 200
DENVER, CO 80230

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 David Defrancisco's NPI number?

The NPI number for David Defrancisco is 1366897209. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is David Defrancisco located?

David Defrancisco practices at 7111 E Lowry Blvd Ste 200, Denver, CO 80230. The listed phone number is (303) 394-2828.

What is David Defrancisco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is David Defrancisco enrolled in Medicare?

Yes. David Defrancisco 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.

What insurance does David Defrancisco accept?

Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list David Defrancisco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Defrancisco was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.