MICHAEL DOMENIC DEFABRIZIO
NPI 1568013175
Nurse Practitioner - Family in Provincetown, MA

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
49 HARRY KEMP WAY, PROVINCETOWN, MA 02657(508) 487-9395(508) 487-6298 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Nov 6, 2025, Sep 25, 2019 (3 updates tracked since 2019).

About Michael Domenic Defabrizio NPPES

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

MICHAEL DOMENIC DEFABRIZIO (NPI 1568013175) is an individual family provider in Provincetown, Massachusetts, licensed in Massachusetts (RN2301292) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568013175
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL DOMENIC DEFABRIZIO
Location Address49 HARRY KEMP WAYProvincetown, MA 02657-1618
Mailing AddressPo Box 2796Orleans, MA 02653-6796 · (508) 487-9395 · Fax (508) 487-6298
Fax(508) 487-6298
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 25, 2019
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1568013175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MA · RN2301292✔ Licensed in FL · APRN11026323
49 HARRY KEMP WAY, Provincetown, MA 02657

Other Identifiers 2

Medicaid123517200FL
Medicaid110156991AMA

Accepted Insurance

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

Michael Domenic Defabrizio 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 ID6709117997
PECOS Enrollment IDI20240814004152
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

6

Medicare enrollment records show Michael Defabrizio reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
49 HARRY KEMP WAY
Provincetown, MA 02657
  • Reassigned Medicare billing, Massachusetts enrollment
  • 51 clinicians in this Medicare group
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 577 clinicians in this Medicare group
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: East Boston Neighborhood Health Center Corp
  • 456 clinicians in this Medicare group
Internal Medicine
4725 N FEDERAL HIGHWAY, HCMG BILLING DEPARTMENT
Ft. Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 393 clinicians in this Medicare group
Urgent Care
3742 W 2150 N STE 150
Lehi, UT 84048
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
Urgent Care
3742 W 2150 N STE 150
Lehi, UT 84048
  • Reassigned Medicare billing, Florida enrollment
  • 17 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

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.
26 services20 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02657 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Internal Medicine
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Internal Medicine
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Dental Hygienist
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Audiologist
49 HARRY KEMP WAY, AUDIOLOGY DEPT
PROVINCETOWN, MA 02657
Dentist (General Practice)
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Optometrist
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Dentist (General Practice)
49 HARRY KEMP WAY, OUTER CAPE HEALTH SERVICES, INC.
PROVINCETOWN, MA 02657
Nurse Practitioner (Family)
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657

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 Michael Defabrizio's NPI number?

The NPI number for Michael Defabrizio is 1568013175. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Michael Defabrizio located?

Michael Defabrizio practices at 49 Harry Kemp Way, Provincetown, MA 02657. The listed phone number is (508) 487-9395.

What is Michael Defabrizio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Defabrizio enrolled in Medicare?

Yes. Michael Defabrizio 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 Michael Defabrizio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Defabrizio reassigns Medicare benefits to 6 organizations: Outer Cape Health Services, Inc. (Provincetown, MA), Internal Medical Associates-Ebnhc (East Boston, MA), Neighborhealth Corporation (East Boston, MA), Holy Cross Hospital Inc (Ft. Lauderdale, FL), Vitalcare Health Services PC (Lehi, UT) and 1 more organization, listed in the Medicare section above. 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 Michael Defabrizio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Defabrizio accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health Maintenance Organization of Florida and Taro Health list Michael Defabrizio 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 Michael Defabrizio affiliated with any hospitals?

According to CMS data, Michael Defabrizio is affiliated with Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for Michael Defabrizio was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.