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GINA MARIE DEFRANCO DO
NPI 1710913090
Family Medicine in New Tazewell, TN

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
424 N. BROAD STREET, NEW TAZEWELL, TN 37752(423) 869-7193(423) 869-7195 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2019, Jan 31, 2019, Feb 3, 2017 and 1 more (4 updates tracked since 2016).

About Gina Marie Defranco Do NPPES

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

GINA MARIE DEFRANCO DO (NPI 1710913090) is an individual family medicine provider in New Tazewell, Tennessee, licensed in Tennessee (1642) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Roane Medical Center, and maintains a secondary practice location in Harrogate.

NPPES Registry Identity

NPI1710913090
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGINA MARIE DEFRANCOCredential: DO
Location Address424 N. BROAD STREETNew Tazewell, TN 37752
Mailing AddressPo Box 367Harrogate, TN 37752-0367 · (423) 865-7193 · Fax (423) 869-7195
Phone(423) 869-7193
Fax(423) 869-7195
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2002
Enumeration DateJune 25, 2006
Last NPPES UpdateJuly 31, 20194 updates tracked since enumeration
✔ NPI 1710913090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 1642
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
424 N. BROAD STREET, New Tazewell, TN 37752
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Other Names 1

Former Name (1)Gina Zulandt Do

Secondary Practice Location 1

Location 1165 Westmoreland StHarrogate, TN 37752-8202 · Phone (423) 869-7193 · Fax (423) 869-7195

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

Gina Marie Defranco 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 ID9537101340
PECOS Enrollment IDI20050523000570
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Roane Medical Center

Acute Care Hospitals · Harriman, TN
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440031
Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37752 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%32 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Gina Defranco's NPI number?

The NPI number for Gina Defranco is 1710913090. It was assigned to this individual provider in the NPPES registry on June 25, 2006. The provider is also known as Gina Zulandt Do.

Where is Gina Defranco located?

Gina Defranco practices at 424 N. Broad Street, New Tazewell, TN 37752. The listed phone number is (423) 869-7193.

What is Gina Defranco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gina Defranco enrolled in Medicare?

Yes. Gina Defranco 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 Gina Defranco affiliated with any hospitals?

According to CMS data, Gina Defranco is affiliated with Roane Medical Center.

When was this NPI record last updated?

The NPPES record for Gina Defranco was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.