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DR. RALPH JOSEPH DEFRIECE M.D.
NPI 1760473789
Family Medicine in Millville, DE

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
32550 DOCS PL UNIT 1, MILLVILLE, DE 19967(302) 541-4175(888) 987-4166 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2026, Feb 3, 2017 (2 updates tracked since 2017).

About Dr. Ralph Joseph Defriece M.d. NPPES

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

DR. RALPH JOSEPH DEFRIECE M.D. (NPI 1760473789) is an individual family medicine provider in Millville, Delaware, licensed in Delaware (C10005374) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Maryland School Of Medicine (1990).

NPPES Registry Identity

NPI1760473789
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RALPH JOSEPH DEFRIECECredential: M.D.
Location Address32550 DOCS PL UNIT 1Millville, DE 19967-6975
Mailing Address4 Irwin PlMiddletown, DE 19709-7937 · (302) 376-1636 · Fax (302) 836-8370
Phone(302) 541-4175
Fax(888) 987-4166
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1990
Enumeration DateOctober 31, 2005
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1760473789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C10005374
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.
32550 DOCS PL UNIT 1, Millville, DE 19967
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Secondary Practice Locations 4

Location 123900 Milton Ellendale HwyMilton, DE 19968-2714 · Phone (302) 684-5635 · Fax (833) 972-5096
Location 228538 DuPont BlvdMillsboro, DE 19966-4791 · Phone (302) 934-5052 · Fax (888) 987-4109
Location 321635 Biden AveGeorgetown, DE 19947-4574 · Phone (302) 856-9729 · Fax (855) 698-5941
Location 419161 Healthy Way Unit 100Rehoboth Beach, DE 19971-4491 · Phone (302) 645-3010 · Fax (855) 562-2315

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. Ralph Joseph Defriece M.d. 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 ID8527060037
PECOS Enrollment IDI20070213000575
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 14

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.
759 services672 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
196 services196 patients
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.
166 services162 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
128 services118 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
116 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19967 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%1,533 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
19%57 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%5,584 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,323 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%3,812 patients4/55-star benchmark: 97%
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…
23%3,082 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%3,811 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%3,811 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%3,811 patients
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.

Other Providers at the Same Location NPPES 3

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

ASIL OMAR PA-C
Physician Assistant
32550 DOCS PL UNIT 1
MILLVILLE, DE 19967
Sussex County (302) 541-4175
CARLA J KOTSIFAKIS P.A.
Physician Assistant
32550 DOCS PL UNIT 1
MILLVILLE, DE 19967
Sussex County (302) 541-4175
ALEXANDRA C COX PA-C
Physician Assistant
32550 DOCS PL UNIT 1
MILLVILLE, DE 19967
Sussex County (302) 541-4175

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 Ralph Defriece's NPI number?

The NPI number for Ralph Defriece is 1760473789. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Ralph Defriece located?

Ralph Defriece practices at 32550 Docs Pl Unit 1, Millville, DE 19967. The listed phone number is (302) 541-4175.

What is Ralph Defriece's specialty?

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

Is Ralph Defriece enrolled in Medicare?

Yes. Ralph Defriece 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 Ralph Defriece accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Ralph Defriece 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.

When was this NPI record last updated?

The NPPES record for Ralph Defriece was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.