MICHAEL JOSEPH DEFRANCE D.O.
NPI 1831547819
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Auburn, ME

Q: What is Michael Defrance's NPI number?

The NPI number for Michael Defrance is 1831547819. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Michael Defrance's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Michael Defrance was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment

83.95/100

CMS Quality Rating

690 MINOT AVE, AUBURN, ME 04210(207) 783-1328 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Michael Joseph Defrance D.o. NPPES

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

MICHAEL JOSEPH DEFRANCE D.O. (NPI 1831547819) is an individual adult reconstructive orthopaedic surgery provider in Auburn, Maine, licensed in New York (311920) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831547819

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameMICHAEL JOSEPH DEFRANCECredential: D.O.

Location Address690 MINOT AVEAuburn, ME 04210-3922

Mailing Address690 Minot AveAuburn, ME 04210-3922 · (207) 783-1328

Phone(207) 783-1328

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 31, 2016

Last NPPES UpdateMay 20, 2024

NPPES CertifiedMay 20, 2024

✔ NPI 1831547819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in NY · 311920

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

690 MINOT AVE, Auburn, ME 04210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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 Joseph Defrance D.o. 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 ID941679005

PECOS Enrollment IDI20221212001976

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

Medicare enrollment records show Michael Defrance reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Maine Medical Center

2.5 mi

General Acute Care Hospital

300 MAIN ST
Lewiston, ME 04240

Reassigned Medicare billing, Maine enrollment
920 clinicians in this Medicare group

NPI 1689653487 (207) 795-5646

Bridgton Hospital

23 mi

Critical Access

10 HOSPITAL DR
Bridgton, ME 04009

Reassigned Medicare billing, Maine enrollment
563 clinicians in this Medicare group

NPI 1154370153 (207) 795-5709

Rumford Hospital

36 mi

Critical Access

420 FRANKLIN ST
Rumford, ME 04276

Reassigned Medicare billing, Maine enrollment
544 clinicians in this Medicare group

NPI 1205991122 (207) 369-1000

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 12

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.

198 services136 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

196 services133 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

159 services123 patients

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.

143 services109 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

121 services89 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

63 services63 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

41 services30 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

34 services32 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

21 services17 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.

21 services21 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

19 services19 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200024

Location300 Main StreetLewiston, ME 04240 · Androscoggin County

Emergency services Birthing friendly

Rumford Hospital

Critical Access Hospitals · Rumford, ME

OwnershipProprietary

CMS Certification Number201306

Location420 Franklin StreetRumford, ME 04276 · Oxford County

Emergency services

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201310

Location10 Hospital DriveBridgton, ME 04009 · Cumberland County

Emergency services

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201315

Location181 Main StreetNorway, ME 04268 · Oxford County

Emergency services Birthing friendly

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.

83.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.69

Promoting Interoperability

Improvement Activities

Cost

70.81

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.

BRITTNEY MASSEY-LABBE

Physician Assistant

690 MINOT AVE
AUBURN, ME 04210

Androscoggin County (207) 783-1328

SAAD MOHAMMAD DO

Orthopaedic Surgery

690 MINOT AVE
AUBURN, ME 04210

Androscoggin County (207) 783-1328

DR. MATTHEW MURRAY MCLAUGHLIN MD

Physical Medicine & Rehabilitation

690 MINOT AVE, SUITE 1
AUBURN, ME 04210

Androscoggin County (207) 783-1328

LAURA ANN ROACH P.T.

Physical Therapist

690 MINOT AVE
AUBURN, ME 04210

Androscoggin County (207) 783-3450

MR. CHRISTOPHER PATRICK O'TOOLE ATC, LAT

Specialist/Technologist (Athletic Trainer)

690 MINOT AVE
AUBURN, ME 04210

Androscoggin County (207) 783-3450

JILL BEAUCAGE P.T.

Physical Therapist

690 MINOT AVE, SUITE TWO
AUBURN, ME 04210

Androscoggin County (207) 783-3450

CENTRAL MAINE ORTHOPAEDICS, P.A.

Orthopaedic Surgery

690 MINOT AVE, SUITE ONE
AUBURN, ME 04210

Androscoggin County (207) 783-1328

DR. IVY C MUSSOMELI DPT

Physical Therapist

690 MINOT AVE
AUBURN, ME 04210

Androscoggin County (207) 783-3450

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 Defrance's NPI number?

The NPI number for Michael Defrance is 1831547819. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Michael Defrance located?

Michael Defrance practices at 690 Minot Ave, Auburn, ME 04210. The listed phone number is (207) 783-1328.

What is Michael Defrance's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Michael Defrance enrolled in Medicare?

Yes. Michael Defrance 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 Defrance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Defrance reassigns Medicare benefits to 3 organizations: Central Maine Medical Center (Lewiston, ME), Bridgton Hospital (Bridgton, ME) and Rumford Hospital (Rumford, ME). 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 Defrance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Defrance accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Michael Defrance 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 Defrance affiliated with any hospitals?

According to CMS data, Michael Defrance is affiliated with Central Maine Medical Center, Rumford Hospital, Bridgton Hospital and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Defrance was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.