DR. TODD D FRANCONE MD, MPH
NPI 1447417738
Colon & Rectal Surgery in Newton, MA

Q: What is Todd Francone's NPI number?

The NPI number for Todd Francone is 1447417738. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Q: What is Todd Francone's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Francone was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment

2014 WASHINGTON STREET, NEWTON-WELLESLEY HOSPITAL-GREEN MOB SUITE 563, NEWTON, MA 02462(617) 219-1285(617) 219-1289 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Todd D Francone Md, Mph NPPES

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

DR. TODD D FRANCONE MD, MPH (NPI 1447417738) is an individual colon & rectal surgery provider in Newton, Massachusetts, licensed in Massachusetts (254086) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of State University Of Ny Upstate Medical University (2001).

NPPES Registry Identity

NPI1447417738

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. TODD D FRANCONECredential: MD, MPH

Location Address2014 WASHINGTON STREET, NEWTON-WELLESLEY HOSPITAL-GREEN MOB SUITE 563Newton, MA 02462

Mailing Address55 Fruit St., Department Of Surgery Wany 460Boston, MA 02114 · (617) 519-8309 · Fax (617) 643-8977

Phone(617) 219-1285

Fax(617) 219-1289

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2001

Enumeration DateMay 22, 2008

Last NPPES UpdateMarch 13, 2024

✔ NPI 1447417738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in MA · 254086

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

2014 WASHINGTON STREET, Newton, MA 02462

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Other Identifiers 1

Medicaid1100925283AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Todd D Francone Md, Mph 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 ID9335293810

PECOS Enrollment IDI20130430000036

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 14

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.

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.

136 services116 patients

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.

61 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services44 patients

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.

50 services50 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

43 services29 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.

40 services37 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

33 services24 patients

Partial removal of small and large bowel with attachment of small and large bowel using an endoscope 44205

This procedure involves the partial removal of sections of your small and large bowel. An endoscope, a thin tube with a camera, aids in the process. The remaining parts of your bowels are then reconnected to restore digestive function.

22 services22 patients

Partial release of large bowel and partial removal of large bowel using an endoscope 44213

This procedure involves using an endoscope, a flexible tube with a camera, to partially release and remove a section of your large bowel. It's a minimally invasive surgery that helps treat conditions like cancer or bowel obstruction.

20 services20 patients

Partial removal of large bowel and reattachment to rectum using an endoscope 44207

This procedure involves the partial removal of the large bowel, also known as the colon, due to disease or other health concerns. Using an endoscope, a long, flexible tube with a camera, the surgeon will then reconnect the remaining healthy parts of the bowel to the rectum.

19 services19 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02462 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

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.

LEAH E SCHAFER M.D.

Radiology (Diagnostic Radiology)

2014 WASHINGTON STREET
NEWTON, MA 02462

Middlesex County (617) 243-6161

MARY A DRINKWATER M.D.

Radiology (Diagnostic Radiology)

2014 WASHINGTON STREET
NEWTON, MA 02462

Middlesex County (617) 243-6162

DR. MICHAEL PETER ZACKS MD

Internal Medicine

2014 WASHINGTON STREET, NEWTON WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-6896

JEFFREY MARK ROTHSCHILD MD

Internal Medicine (Critical Care Medicine)

2014 WASHINGTON STREET, NEWTON- WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-6433

DR. SUSAN TINSLEY SCHUMER

Internal Medicine (Hematology & Oncology)

2014 WASHINGTON STREET, NEW ENGLAND HEMATOLOGY ONCOLOGY
NEWTON, MA 02462

Middlesex County (617) 658-6000

IRIS H FOLEY MD

Radiology (Diagnostic Radiology)

2014 WASHINGTON STREET
NEWTON, MA 02462

Middlesex County (617) 243-6162

WILLIAM C DENISON M.D.

Radiology (Diagnostic Radiology)

2014 WASHINGTON STREET
NEWTON, MA 02462

Middlesex County (617) 243-6162

MARY CHRISTINE BAILEY MD

Emergency Medicine (Pediatric Emergency Medicine)

2014 WASHINGTON STREET
NEWTON, MA 02462

Middlesex County (617) 243-6040

DR. NICOLE A MIHOK M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

2014 WASHINGTON STREET, NEWTON-WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-6913

EDNA S HAMILTON MD

Radiology (Diagnostic Radiology)

2014 WASHINGTON STREET
NEWTON, MA 02462

Middlesex County (617) 243-6162

JATIN NARANG MD

Internal Medicine

2014 WASHINGTON STREET
NEWTON, MA 02462

Middlesex County (857) 282-3083

LISA ANNE CATALANO

Social Worker (Clinical)

2014 WASHINGTON STREET, ELLISON HALL, 2ND FLOOR
NEWTON, MA 02462

Middlesex County (617) 243-6573

MRS. DEBORAH SARGENT DONOVAN RD LDN LMHC

Dietitian, Registered

2014 WASHINGTON STREET, NEWTON WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-5212

DR. LIEN H LE M.D.

Internal Medicine

2014 WASHINGTON STREET, NEWTON WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-6433

MRS. PATRICIA A GROOM PA-C

Physician Assistant (Medical)

2014 WASHINGTON STREET, NEWTON WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-6193

MARINA FISHMAN M.D.

Psychiatry & Neurology (Psychiatry)

2014 WASHINGTON STREET, NEWON-WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-6373

MS. CHERYL I MARKS NP

Nurse Practitioner (Family)

2014 WASHINGTON STREET, NEWTON WELLESLEY HOSPITAL 4 SOUTH
NEWTON, MA 02462

Middlesex County (617) 243-6142

TARA MICHELLE BARNETT PAC

Physician Assistant

2014 WASHINGTON STREET, NEWTON WELLESLEY HOSPITAL
NEWTON, MA 02462

Middlesex County (617) 243-6040

KATHERINE HOLCOMB DNP FNP-BC

Nurse Practitioner (Family)

2014 WASHINGTON STREET, DIABETES AND NUTRITION CLINIC
NEWTON, MA 02462

Middlesex County (617) 243-6144

PERRY G. AN MD

Internal Medicine

2014 WASHINGTON STREET, NWH, 2ND FLOOR, HOSPITALIST OFFICE
NEWTON, MA 02462

Middlesex County (617) 243-6433

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 Todd Francone's NPI number?

The NPI number for Todd Francone is 1447417738. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Todd Francone located?

Todd Francone practices at 2014 Washington Street Newton-Wellesley Hospital-Green Mob Suite 563, Newton, MA 02462. The listed phone number is (617) 219-1285.

What is Todd Francone's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Todd Francone enrolled in Medicare?

Yes. Todd Francone 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 Todd Francone accept?

Health plans from Anthem Blue Cross and Blue Shield list Todd Francone 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.

Is Todd Francone affiliated with any hospitals?

According to CMS data, Todd Francone is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Todd Francone was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.