JOHN P FRANCHINA D.O.
NPI 1457446569
Obstetrics & Gynecology in Babylon, NY

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
400 W MAIN ST, SUITE 330, BABYLON, NY 11702(631) 321-1239(631) 422-0170 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John P Franchina D.o. NPPES

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

JOHN P FRANCHINA D.O. (NPI 1457446569) is an individual obstetrics & gynecology provider in Babylon, New York, licensed in New York (230848) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2000).

NPPES Registry Identity

NPI1457446569
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN P FRANCHINACredential: D.O.
Location Address400 W MAIN ST, SUITE 330Babylon, NY 11702-3012
Mailing Address26 Railroad Ave, #217Babylon, NY 11702-2204 · (631) 321-1239 · Fax (631) 422-0170
Fax(631) 422-0170
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 16, 2014
✔ NPI 1457446569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 230848
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
400 W MAIN ST, Babylon, NY 11702

Other Identifiers 12

Medicare PIN722E1ANT01NY
OtherP3402911NY · Oxford
Other230848NY · Hip
Other3450697NY · Aetna
Other346739PNY · Hip
Other866E41NY · Bcbs
Medicare UPINI21944NY
Other7593543NY · Aetna
Other3694573NY · Cigna
Other5C8276NY · Healthnet
Other001GQ1NY · Bcbs
Other0136447NY · Ghi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John P Franchina D.o. 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 ID3678539285
PECOS Enrollment IDI20041206000710
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 Reassignments

3

Medicare enrollment records show John Franchina reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Assistant
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 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.

Areas of Expertise CMS Part B claims 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11702 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

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.

Audiologist
400 W MAIN ST
BABYLON, NY 11702
Occupational Therapist (Hand)
400 W MAIN ST, STE109
BABYLON, NY 11702
Counselor (Mental Health)
400 W MAIN ST
BABYLON, NY 11702
Anesthesiology
400 W MAIN ST, SUITE 300
BABYLON, NY 11702
Internal Medicine (Gastroenterology)
400 W MAIN ST, STE 300
BABYLON, NY 11702
Anesthesiology
400 W MAIN ST, SUITE 300
BABYLON, NY 11702
Specialist
400 W MAIN ST, SUITE 300
BABYLON, NY 11702
Internal Medicine (Nephrology)
400 W MAIN ST, SUITE 300
BABYLON, NY 11702

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 John Franchina's NPI number?

The NPI number for John Franchina is 1457446569. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is John Franchina located?

John Franchina practices at 400 W Main St Suite 330, Babylon, NY 11702. The listed phone number is (631) 321-1239.

What is John Franchina's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Franchina enrolled in Medicare?

Yes. John Franchina 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.

Which organizations bill Medicare for John Franchina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Franchina reassigns Medicare benefits to 3 organizations: Good Samaritan Hospital Medical Center (West Islip, NY), Sun River Health Inc (Bronx, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each 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 John Franchina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Franchina affiliated with any hospitals?

According to CMS data, John Franchina is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for John Franchina was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.