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MOLLY C DEFRAIN DO
NPI 1548641798
Hospitalist in Jefferson Hills, PA

Active since June 13, 2015PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025(412) 267-6810(412) 267-6817 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, Aug 8, 2022, Aug 13, 2018 and 1 more (4 updates tracked since 2018).

About Molly C Defrain Do NPPES

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

MOLLY C DEFRAIN DO (NPI 1548641798) is an individual hospitalist provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (OS018835) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1548641798
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMOLLY C DEFRAINCredential: DO
Location Address565 COAL VALLEY RDJefferson Hills, PA 15025-3703
Mailing Address565 Coal Valley RdJefferson Hills, PA 15025-3703 · (412) 267-6810 · Fax (412) 267-6817
Phone(412) 267-6810
Fax(412) 267-6817
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2015
Enumeration DateJune 13, 2015
Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1548641798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · OS018835
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS018835 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT016418 (PA)
565 COAL VALLEY RD, Jefferson Hills, PA 15025
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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

Molly C Defrain Do 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 ID1052607363
PECOS Enrollment IDI20180918000774
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 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.

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.
68 services67 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.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

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 supplier21 claims21 services$106.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$36.35 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.

ALYSSA L BERNSTEIN NP
Nurse Practitioner
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (860) 395-7848
JEFFERSON REGIONAL MEDICAL CENTER
Rehabilitation Unit
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 469-5000
MRS. VICTORIA L RILEY CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
EMILY PAIGE MCDOWELL CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
SANGEETA LAKSHMI KOMERALLY M.D
Hospitalist
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 267-6810
ADAM A BARONE CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
MICHAEL BRADLEY SMALL DO
Hospitalist
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 267-6810
MS. NICOLE MARIE DE GORTARI CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000

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 Molly Defrain's NPI number?

The NPI number for Molly Defrain is 1548641798. It was assigned to this individual provider in the NPPES registry on June 13, 2015.

Where is Molly Defrain located?

Molly Defrain practices at 565 Coal Valley Rd, Jefferson Hills, PA 15025. The listed phone number is (412) 267-6810.

What is Molly Defrain's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Molly Defrain enrolled in Medicare?

Yes. Molly Defrain 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 Molly Defrain affiliated with any hospitals?

According to CMS data, Molly Defrain is affiliated with Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Molly Defrain was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.