DR. PAULA LAFRANCONI MD
NPI 1659328300
Internal Medicine in West Chester, OH

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
8040 PRINCETON-GLENDALE RD, WEST CHESTER, OH 45069(513) 246-7000(513) 246-5479 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paula Lafranconi Md NPPES

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

DR. PAULA LAFRANCONI MD (NPI 1659328300) is an individual internal medicine provider in West Chester, Ohio, licensed in Ohio (35059536) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1985).

NPPES Registry Identity

NPI1659328300
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAULA LAFRANCONICredential: MD
Location Address8040 PRINCETON-GLENDALE RDWest Chester, OH 45069-0000
Mailing Address4685 Forest Ave Ste CCincinnati, OH 45212-3359 · (513) 246-7796 · Fax (513) 852-8525
Fax(513) 246-5479
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1985
Enumeration DateMay 28, 2006
Last NPPES UpdateOctober 1, 2014
NPI 1659328300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35059536
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.
8040 PRINCETON-GLENDALE RD, West Chester, OH 45069

Other Identifiers 3

Medicare UPINE65483OH
Medicaid0787653OH
Medicare PINLA0705716OH

Accepted 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. Paula Lafranconi Md 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 ID2264475326
PECOS Enrollment IDI20050609000225
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services15 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

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Audiologist
8040 PRINCETON-GLENDALE RD
WEST CHESTER, OH 45069
Nurse Practitioner (Family)
8040 PRINCETON-GLENDALE RD
WEST CHESTER, OH 45069
Dermatology
8040 PRINCETON-GLENDALE RD
WEST CHESTER, OH 45069
Dietitian, Registered
8040 PRINCETON-GLENDALE RD
WEST CHESTER, OH 45069
Otolaryngology
8040 PRINCETON-GLENDALE RD
WEST CHESTER, OH 45069
Pediatrics
8040 PRINCETON-GLENDALE RD
WEST CHESTER, OH 45069
Internal Medicine
8040 PRINCETON-GLENDALE RD
CINCINNATI, OH 45069
Physical Therapist
8040 PRINCETON-GLENDALE RD
CINCINNATI, OH 45069

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 Paula Lafranconi's NPI number?

The NPI number for Paula Lafranconi is 1659328300. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Paula Lafranconi located?

Paula Lafranconi practices at 8040 Princeton-Glendale Rd, West Chester, OH 45069. The listed phone number is (513) 246-7000.

What is Paula Lafranconi's specialty?

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

Is Paula Lafranconi enrolled in Medicare?

Yes. Paula Lafranconi 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 Paula Lafranconi accept?

Health plans from CareSource list Paula Lafranconi 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 Paula Lafranconi affiliated with any hospitals?

According to CMS data, Paula Lafranconi is affiliated with Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Paula Lafranconi was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.