Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL P DEFRAIN MD
NPI 1851369490
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Port Charlotte, FL

Q: What is Michael Defrain's NPI number?

The NPI number for Michael Defrain is 1851369490. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Michael Defrain's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Defrain was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 March 09, 2006PECOS EnrolledAccepts Medicare Assignment

2400 HARBOR BLVD STE 7, PORT CHARLOTTE, FL 33952(941) 766-5095(941) 206-0326 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2026, Dec 18, 2025, Mar 25, 2021 and 2 more (5 updates tracked since 2018).

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About Michael P Defrain Md NPPES

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

MICHAEL P DEFRAIN MD (NPI 1851369490) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Port Charlotte, Florida, licensed in Florida (ME104727) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851369490

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameMICHAEL P DEFRAINCredential: MD

Location Address2400 HARBOR BLVD STE 7Port Charlotte, FL 33952-5038

Mailing Address2400 Harbor Blvd Ste 7Port Charlotte, FL 33952-5038 · (941) 766-5095 · Fax (941) 206-0326

Phone(941) 766-5095

Fax(941) 206-0326

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1998

Enumeration DateMarch 9, 2006

Last NPPES UpdateJuly 1, 20265 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1851369490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in FL · ME104727

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

2400 HARBOR BLVD STE 7, Port Charlotte, FL 33952

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Secondary Practice Locations 2

Location 15147 N 9th Ave Ste 318Pensacola, FL 32504-8710 · Phone (850) 416-2965 · Fax (850) 416-1833

Location 2601 7th St S Ste 205St Petersburg, FL 33701-4748 · Phone (727) 893-6234 · Fax (727) 893-6111

Other Identifiers 2

Medicaid001197800FL

OtherP01281027FL · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.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

Michael P Defrain 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 ID5395774467

PECOS Enrollment IDI20090814000479

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 13

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

75 services75 patients

Interpretation and report of ultrasound of heart 93314

This procedure involves using ultrasound technology to create images of your heart. These images help identify heart conditions by showing the size, structure, and motion of your heart. A report is then prepared detailing the findings.

52 services51 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.

52 services46 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

48 services48 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

45 services45 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.

45 services45 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

35 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

34 services31 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

29 services29 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

24 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

20 services17 patients

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268

This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.

14 services14 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100025

Location5151 N 9th AvePensacola, FL 32504 · Escambia County

Emergency services Birthing friendly

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100032

Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County

Emergency services Birthing friendly

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery

Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.

20%162 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

98%199 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier17 claims17 services$48.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$18.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$94.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)