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DR. JOEL FRANCO M.D.
NPI 1891108452
Otolaryngology in Las Vegas, NV

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
3692 E SUNSET RD, LAS VEGAS, NV 89120(702) 735-7668(702) 735-1411 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2024, Aug 27, 2020 (2 updates tracked since 2020).

About Dr. Joel Franco M.d. NPPES

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

DR. JOEL FRANCO M.D. (NPI 1891108452) is an individual otolaryngology provider in Las Vegas, Nevada, licensed in Nevada (26439) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891108452
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOEL FRANCOCredential: M.D.
Location Address3692 E SUNSET RDLas Vegas, NV 89120-7237
Mailing Address3692 E Sunset RdLas Vegas, NV 89120-7237 · (702) 735-7668 · Fax (702) 735-1411
Phone(702) 735-7668
Fax(702) 735-1411
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1891108452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in NV · 26439✔ Licensed in IL · 036152191
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3692 E SUNSET RD, Las Vegas, NV 89120
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.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

Dr. Joel Franco 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 ID9931401361
PECOS Enrollment IDI20200717003011
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

2

Medicare enrollment records show Joel Franco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anderson Medical Group, LLC
1,391 mi
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
NPI 1700807716 (618) 288-5711
University Of Pittsburgh Physicians
1,888 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195

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 11

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.
204 services158 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
180 services151 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.
135 services135 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
124 services87 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.
88 services88 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
61 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89120 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Other Providers at the Same Location NPPES 15

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

SCOTT EDWARD MANTHEI D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668
DR. BRIAN KUNG M.D.
Otolaryngology (Otology & Neurotology)
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668
DR. TODD ANTHONY LAACK AU.D.
Audiologist
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668
DR. SEAN DAVID PALACIOS M.D.
Otolaryngology
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668
KRISTINA DAVIS AUD
Audiologist
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668
CANDICE YIP
Otolaryngology
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668
ROSA PEREIDA
Hearing Instrument Specialist
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668
MARISSA SCHIBER AU.D
Audiologist
3692 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (702) 735-7668

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 Joel Franco's NPI number?

The NPI number for Joel Franco is 1891108452. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Joel Franco located?

Joel Franco practices at 3692 E Sunset Rd, Las Vegas, NV 89120. The listed phone number is (702) 735-7668.

What is Joel Franco's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joel Franco enrolled in Medicare?

Yes. Joel Franco 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 Joel Franco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Franco reassigns Medicare benefits to 2 organizations: Anderson Medical Group, LLC (Maryville, IL) and University Of Pittsburgh Physicians (East Liverpool, OH). 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 Joel Franco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Franco accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Joel Franco 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 Joel Franco affiliated with any hospitals?

According to CMS data, Joel Franco is affiliated with Anderson Hospital and Community Hospital Of Staunton.

When was this NPI record last updated?

The NPPES record for Joel Franco was last updated on September 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.