Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952453839 Individual Practitioner Male Practitioner

Paul Defranco

Internal Medicine • Wayne, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Paul Defranco is a certified Internal Medicine practicing in Wayne, NJ. With approximately 26 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 2000, Paul Defranco delivers high-quality medical care to the local community at 510 HAMBURG TPKE.

Paul Defranco is affiliated with North Haledon Medical, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

510 Hamburg Tpke
Wayne Commons, Suite 101

Wayne, NJ 074702025

Telephone 9739426005
Fax 9739426009
Associated Practice Facility / Clinic
🏢 Edwin P Teehan Md Pc Facility NPI 1285680611

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wayne, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs -6.7 yrs vs City Avg
City Avg: 32.7 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
47 Specialists

Practicing in Wayne, NJ (4957 Statewide)

Telehealth Adoption Rate
25.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Defranco (26 Years) 26 Yrs
Wayne Specialty Average (32.7 Years) 32.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
2,033 363 $250.00 $115.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
1,026 238 $185.00 $80.02
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
589 255 $370.00 $164.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
273 29 $250.00 $115.71
11047 Removal of bone, each additional 20.0 sq cm or less
243 15 $345.00 $102.44
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
240 38 $650.00 $152.20
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less
213 17 $205.00 $58.00
11042 Removal of skin and tissue, 20.0 sq cm or less
200 60 $350.00 $44.60
11044 Removal of bone, 20.0 sq cm or less
165 25 $875.00 $239.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
140 62 $300.00 $138.69
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
127 70 $50.00 $17.55
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
103 22 $370.00 $164.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
75 17 $185.00 $80.17
11042 Removal of skin and tissue, 20.0 sq cm or less
62 14 $350.00 $112.49
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
36 11 $650.00 $256.24
99213 Established patient office or other outpatient visit, typically 15 minutes
33 30 $200.00 $97.49
93000 Routine ekg using at least 12 leads including interpretation and report
29 29 $50.00 $15.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
28 28 $185.00 $141.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 13 $400.00 $196.60
99306 Initial nursing facility visit, typically 45 minutes per day
16 16 $450.00 $194.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MB08195300

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Amerihealth #
2833226000 (NJ)
Commercial Insurance / Payer ID Healthnet #
3K6390 (NJ)
Commercial Insurance / Payer ID Railroad Medicare
P00406558 (NJ)
Commercial Insurance / Payer ID Oxford
P3787752 (NJ)
Commercial Insurance / Payer ID Aetna Hmo #
1501301 (NJ)
Commercial Insurance / Payer ID Empire Bc/bs #
659AZ1 (NJ)
Commercial Insurance / Payer ID Aetna Ppo #
7049800 (NJ)
Commercial Insurance / Payer ID Tax Id#
223806823 (NJ)

Hospital & Practice Group Affiliations

North Haledon Medical, Pc

510 Hamburg Tpke, Wayne, NJ 074702033

Phone: 9739426005

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. John Gregg , DO

Family Medicine

NPI 1013118660

Doctor of Osteopathic Medicine (D.O.)

Michael Leonardo

Internal Medicine

NPI 1023348281
Dr. Tarek Rashid , MD

Internal Medicine

NPI 1114125234

Doctor of Medicine (M.D.)

NPI 1114996477

Doctor of Osteopathic Medicine (D.O.)

Dr. Margaret Karcnik , DO

Physical Medicine & Rehabilitation

NPI 1194881730

Doctor of Osteopathic Medicine (D.O.)

NPI 1306876602

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2013

Registered at 510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101, WAYNE, NJ 074702025 (Tel: 9739426005)

📍
Updated Business Mailing Address June 11, 2013

Registered at 510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101, WAYNE, NJ 074702025 (Tel: 9739426005)

👤
Provider Name / Credentials Updated June 11, 2013

Recorded as PAUL DEFRANCO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2013

Internal Medicine (License #25MB08195300 in NJ)

🟢
Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952453839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: June 11, 2013
Sole Proprietor: No

Mailing Address

510 Hamburg Tpke, Wayne Commons, Suite 101

Wayne, NJ 074702025

Phone: 9739426005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.