DR. DIANE FRANCHI M.D.
NPI 1538159199
Internal Medicine in Fredericksburg, VA

Q: What is Diane Franchi's NPI number?

The NPI number for Diane Franchi is 1538159199. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Diane Franchi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Franchi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 25, 2005PECOS Enrolled

1201 HOSPITAL DR, FREDERICKSBURG, VA 22401(540) 368-3700 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 24, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Diane Franchi M.d. NPPES

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

DR. DIANE FRANCHI M.D. (NPI 1538159199) is an individual internal medicine provider in Fredericksburg, Virginia, licensed in Virginia (0101054859) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538159199

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. DIANE FRANCHICredential: M.D.

Location Address1201 HOSPITAL DRFredericksburg, VA 22401-8428

Mailing Address11 Smokehouse Dr Ste 101Fredericksburg, VA 22406-8455 · (540) 370-0295 · Fax (540) 370-0619

Phone(540) 368-3700

Sole ProprietorNo

Enumeration DateOctober 25, 2005

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedJune 24, 2021

✔ NPI 1538159199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101054859

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 22795 (SC)

1201 HOSPITAL DR, Fredericksburg, VA 22401

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Secondary Practice Locations 2

Location 11101 Sam Perry Blvd, Ste 307Fredericksburg, VA 22401-4467 · Phone (540) 374-3277 · Fax (540) 374-3280

Location 211 Smokehouse Dr Ste 101Fredericksburg, VA 22406-8455 · Phone (540) 370-0295 · Fax (540) 370-0619

Other Identifiers 2

Medicaid1538159199VA

MedicaidGP1016SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diane Franchi 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 Reassignments

Medicare enrollment records show Diane Franchi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Washington Healthcare Physicians

0.2 mi

Family Medicine

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
547 clinicians in this Medicare group

NPI 1295999852 (540) 741-1100

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

26 mi

Health Maintenance Organization

13285 MINNIEVILLE ROAD
Woodbridge, VA 22192

Reassigned Medicare billing, Virginia and District of Columbia enrollments
Also billed through NPI 1215058326 (District of Columbia)
995 clinicians in this Medicare group

NPI 1972275196 (301) 816-2424

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 22401 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$69.89 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 20

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

DR. JESSICA NOMM PHARMD, RPH

Pharmacist (Ambulatory Care)