PAUL DEFRANCO
NPI 1952453839
Internal Medicine in Wayne, NJ

Q: What is Paul Defranco's NPI number?

The NPI number for Paul Defranco is 1952453839. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Paul Defranco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Defranco was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 18, 2007PECOS EnrolledAccepts Medicare Assignment

75.58/100

CMS Quality Rating

510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101, WAYNE, NJ 07470(973) 942-6005(973) 942-6009 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Paul Defranco NPPES

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

PAUL DEFRANCO (NPI 1952453839) is an individual internal medicine provider in Wayne, New Jersey, licensed in New Jersey (25MB08195300) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2000).

NPPES Registry Identity

NPI1952453839

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePAUL DEFRANCO

Location Address510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101Wayne, NJ 07470-2025

Mailing Address510 Hamburg Tpke, Wayne Commons, Suite 101Wayne, NJ 07470-2025 · (973) 942-6005 · Fax (973) 942-6009

Phone(973) 942-6005

Fax(973) 942-6009

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2000

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJune 11, 2013

✔ NPI 1952453839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MB08195300

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

510 HAMBURG TPKE, Wayne, NJ 07470

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Other Identifiers 10

Other1501301NJ · Aetna Hmo #

Other223806823NJ · Tax Id#

Other659AZ1NJ · Empire Bc/bs #

Medicare UPINI49465NJ

Medicare PIN106309PWSNJ

Other2833226000NJ · Amerihealth #

Other7049800NJ · Aetna Ppo #

OtherP00406558NJ · Railroad Medicare

OtherP3787752NJ · Oxford

Other3K6390NJ · Healthnet #

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

Paul Defranco 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 ID6002821725

PECOS Enrollment IDI20070201000091

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 19

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

2,033 services363 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,026 services238 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

589 services255 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

273 services29 patients

Removal of bone, each additional 20.0 sq cm or less 11047

This procedure involves the surgical removal of a specified amount of bone, typically due to disease or injury. Each additional 20.0 square cm or less refers to the size of the bone area being removed. It's a precise operation performed by skilled surgeons.

243 services15 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

240 services38 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

213 services17 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

200 services60 patients

Removal of bone, 20.0 sq cm or less 11044

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

165 services25 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.

140 services62 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

103 services22 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

75 services17 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

62 services14 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

36 services11 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.

33 services30 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.

29 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

28 services28 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.

18 services13 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

75.58/100

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

Scored as part of a group practice

Quality

89.16

Promoting Interoperability

Improvement Activities

Cost

42.17

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

3 suppliers13 claims7,109 services$0.34 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$34.01 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 20

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

DR. JOHN ANTHONY GREGG D.O.

Family Medicine

510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101
WAYNE, NJ 07470

Passaic County (973) 942-6005

DR. MICHAEL HUBERT LEONARDO

Internal Medicine

510 HAMBURG TPKE, SUITE 101
WAYNE, NJ 07470

Passaic County (973) 942-6005

DR. FRANK ANTHONY TAMARO D.M.D.

Dentist (General Practice)

510 HAMBURG TPKE, SUITE 207
WAYNE, NJ 07470

Passaic County (973) 942-9421

DR. BLAIR RICHARD BELTZER M.D.

Family Medicine

510 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 953-7668

DR. GUY E. MARGOLIN D.C.

Chiropractor

510 HAMBURG TPKE, SUITE 102
WAYNE, NJ 07470

Passaic County (973) 595-7555

ANTHONY J BARRAVECCHIO D.O.

Internal Medicine

510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101
WAYNE, NJ 07470

Passaic County (973) 942-6005

ACUPUNCTURE HERB CENTER OF WAYNE

Clinic/Center (Health Service)

510 HAMBURG TPKE, ST.103
WAYNE, NJ 07470

Passaic County (973) 595-7887

VICTOR A ABDY M.D

Internal Medicine

510 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 790-3232

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 Paul Defranco's NPI number?

The NPI number for Paul Defranco is 1952453839. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Paul Defranco located?

Paul Defranco practices at 510 Hamburg Tpke Wayne Commons, Suite 101, Wayne, NJ 07470. The listed phone number is (973) 942-6005.

What is Paul Defranco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Defranco enrolled in Medicare?

Yes. Paul 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 Paul Defranco affiliated with any hospitals?

According to CMS data, Paul Defranco is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Paul Defranco was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.