DR. JOSEPH M DIFRANCO DPM
NPI 1407881162
Podiatrist - Foot & Ankle Surgery in Erie, PA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
88.84/100
CMS Quality Rating
3939 W RIDGE RD STE C1, ERIE, PA 16506(814) 217-0618(833) 305-0497 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 2, 2020, Nov 11, 2020, Jun 15, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Joseph M Difranco Dpm NPPES

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

DR. JOSEPH M DIFRANCO DPM (NPI 1407881162) is an individual foot & ankle surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (SC005909) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1407881162
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JOSEPH M DIFRANCOCredential: DPM
Location Address3939 W RIDGE RD STE C1Erie, PA 16506-1887
Mailing Address3939 W Ridge Rd Ste C1Erie, PA 16506-1887 · (814) 217-0618 · Fax (833) 305-0497
Fax(833) 305-0497
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2003
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 2, 20204 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
NPI 1407881162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in PA · SC005909
3939 W RIDGE RD STE C1, Erie, PA 16506

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. Joseph M Difranco Dpm 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 ID5698785020
PECOS Enrollment IDI20060501000375
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 20

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
845 services237 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
687 services214 patients
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.
382 services180 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
168 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
118 services87 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
109 services49 patients

Hospital Affiliations CMS Care Compare

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

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.

88.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.47
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%251 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%196 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
62%79 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
0%133 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%133 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,384 patients4/55-star benchmark: 100%
e-Prescribing
96%314 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%561 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%895 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%924 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 606 patients
Patients screened: 99% · 606 patients
82%45 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
60%881 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%237 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 582 patients
Patients totalRate: 0% · 583 patients
0%583 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier41 claims82 services$61.42 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier31 claims186 services$25.04 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier12 claims72 services$37.22 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier12 claims12 services$232.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
3939 W RIDGE RD STE C1
ERIE, PA 16506

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 Difranco's NPI number?

The NPI number for Joseph Difranco is 1407881162. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Joseph Difranco located?

Joseph Difranco practices at 3939 W Ridge Rd Ste C1, Erie, PA 16506. The listed phone number is (814) 217-0618.

What is Joseph Difranco's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Joseph Difranco enrolled in Medicare?

Yes. Joseph Difranco 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 Joseph Difranco affiliated with any hospitals?

According to CMS data, Joseph Difranco is affiliated with Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Difranco was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.