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JAMES PAUL FRANCIOSI MD
NPI 1952508749
Pediatrics - Pediatric Gastroenterology in Louisville, KY

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
411 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-2330(502) 588-9513 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Paul Franciosi Md NPPES

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

JAMES PAUL FRANCIOSI MD (NPI 1952508749) is an individual pediatric gastroenterology provider in Louisville, Kentucky, licensed in Kentucky (60044) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2001).

NPPES Registry Identity

NPI1952508749
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameJAMES PAUL FRANCIOSICredential: MD
Location Address411 E CHESTNUT STLouisville, KY 40202-1713
Mailing AddressP.o. Box 191, Provider Enrollment DepartmentRockland, DE 19732-0191 · (302) 651-6718 · Fax (302) 651-4945
Phone(502) 588-2330
Fax(502) 588-9513
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2001
Enumeration DateJune 27, 2007
Last NPPES UpdateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1952508749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in KY · 60044✔ Licensed in OH · 35.091472✔ Licensed in FL · ME113732
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
411 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

James Paul Franciosi 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 ID9931270089
PECOS Enrollment IDI20240913002864
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 James Franciosi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336
The Nemours Foundation
595 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

PATRICIA GAIL WILLIAMS MD
Pediatrics (Developmental - Behavioral Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
MS. KIMBERLY LYNNE HALL DNP FNP-BC
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201
MS. ANN ELIZABETH LORIMER PA-C
Physician Assistant
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-7600
AMANDA BRIAN ROGERS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3650
HALLEY STEWART GC
Genetic Counselor, MS
411 E CHESTNUT ST, LEVEL 2
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
DR. MARY E FALLAT M.D.
Surgery (Pediatric Surgery)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
JESSICA RAY COLEMAN APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
ALICE BOOS-EDWARDS APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201

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 James Franciosi's NPI number?

The NPI number for James Franciosi is 1952508749. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is James Franciosi located?

James Franciosi practices at 411 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 588-2330.

What is James Franciosi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is James Franciosi enrolled in Medicare?

Yes. James Franciosi 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 James Franciosi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Franciosi reassigns Medicare benefits to 2 organizations: Norton Children's Medical Group, LLC (Louisville, KY) and The Nemours Foundation (Jacksonville, FL). 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 James Franciosi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Franciosi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list James Franciosi 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 James Franciosi was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.