Active NPI 1588605729 Individual Practitioner Male Practitioner

Dr. Mark T Defrancisco , DO

Surgery - Vascular Surgery • Newark, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Defrancisco, DO is a certified Surgery - Vascular Surgery practicing in Newark, OH. With approximately 31 years of clinical experience since graduating from Ohio University, College Of Osteopathic Medicine in 1995, Dr. Defrancisco delivers high-quality medical care to the local community at 1371 W MAIN ST.

Dr. Defrancisco maintains professional affiliations with Lexington Health Inc, Licking Memorial Health Professionals and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, ultrasound of both sides of head and neck blood flow, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1371 W Main St

Newark, OH 430553681

Telephone 2205641965

Fax 2205641966

Associated Practice Facility / Clinic

🏢 Surgical Interventions, Llc Facility NPI 1497951149

Medicare Profile & Education

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Newark, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -1.7 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Newark, OH (250 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Defrancisco (31 Years) 31 Yrs

Newark 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
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	104	99	$37.00	$19.82
93880 Ultrasound of both sides of head and neck blood flow	75	73	$59.00	$35.77
99213 Established patient office or other outpatient visit, typically 15 minutes	72	62	$138.00	$84.93
93970 Ultrasound study of arm or leg veins with compression and maneuvers	65	63	$56.00	$31.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$195.00	$121.46
93922 Ultrasound study of arm and leg arteries	45	45	$21.00	$10.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$258.00	$158.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	20	$218.00	$124.01
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	16	16	$37.00	$21.36
93923 Complete ultrasound study of arm and leg arteries	14	14	$37.00	$20.73
76706 Ultrasound scan of abdominal aorta	13	13	$45.00	$24.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	125	120	$37.00	$21.06
99213 Established patient office or other outpatient visit, typically 15 minutes	97	77	$138.00	$86.04
93970 Ultrasound study of arm or leg veins with compression and maneuvers	86	83	$56.00	$32.74
93880 Ultrasound of both sides of head and neck blood flow	78	78	$59.00	$37.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	42	$195.00	$122.16
93922 Ultrasound study of arm and leg arteries	38	37	$21.00	$12.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$258.00	$161.96
76706 Ultrasound scan of abdominal aorta	21	21	$45.00	$26.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$255.47	$127.15
93923 Complete ultrasound study of arm and leg arteries	15	15	$37.00	$21.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	11	$342.46	$170.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$140.67	$77.06
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	11	11	$37.00	$22.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	119	117	$82.63	$21.30
99213 Established patient office or other outpatient visit, typically 15 minutes	104	72	$138.00	$85.35
93880 Ultrasound of both sides of head and neck blood flow	91	91	$59.00	$38.55
93970 Ultrasound study of arm or leg veins with compression and maneuvers	89	87	$56.00	$33.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	37	$195.00	$116.88
93922 Ultrasound study of arm and leg arteries	43	42	$50.93	$12.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$258.00	$162.61
93923 Complete ultrasound study of arm and leg arteries	25	25	$62.80	$21.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$140.70	$68.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$236.20	$130.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$353.29	$191.15
76706 Ultrasound scan of abdominal aorta	16	16	$106.75	$26.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$176.08	$98.78
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	11	11	$94.18	$55.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	121	116	$37.00	$21.43
93970 Ultrasound study of arm or leg veins with compression and maneuvers	86	85	$56.00	$32.76
93880 Ultrasound of both sides of head and neck blood flow	73	71	$56.40	$38.09
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$131.69	$87.73
93922 Ultrasound study of arm and leg arteries	41	39	$20.00	$12.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$231.53	$132.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	32	$185.41	$126.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$247.33	$164.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$128.73	$69.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	12	$59.00	$37.67
76706 Ultrasound scan of abdominal aorta	14	14	$45.00	$27.09
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	11	11	$148.00	$56.02
93923 Complete ultrasound study of arm and leg arteries	11	11	$37.00	$21.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$164.09	$109.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	86	82	$37.00	$22.28
93970 Ultrasound study of arm or leg veins with compression and maneuvers	59	57	$56.00	$34.76
93880 Ultrasound of both sides of head and neck blood flow	44	43	$49.00	$40.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	24	$170.00	$99.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$258.00	$160.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$230.55	$137.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	21	$139.38	$71.11
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$116.00	$72.12
93922 Ultrasound study of arm and leg arteries	25	25	$20.00	$12.78
93923 Complete ultrasound study of arm and leg arteries	18	18	$37.00	$21.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$169.00	$105.04
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$104.29	$65.77
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$62.00	$36.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$63.00	$39.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	203	198	$64.00	$39.67
99213 Established patient office or other outpatient visit, typically 15 minutes	110	104	$133.00	$70.38
93970 Ultrasound study of arm or leg veins with compression and maneuvers	99	96	$72.00	$33.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	94	94	$48.00	$21.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	76	$199.00	$101.13
93923 Complete ultrasound study of arm and leg arteries	46	44	$48.00	$21.97
93925 Ultrasound of leg arteries or artery grafts	39	38	$60.00	$38.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$310.00	$158.66
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$196.00	$99.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	29	$265.00	$121.35
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	31	30	$70.00	$39.05
93926 Ultrasound of one leg arteries or artery grafts	28	22	$42.00	$23.31
75625 Radiological supervision and interpretation X-ray of abdominal aorta	23	21	$122.00	$52.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$140.00	$57.58
93922 Ultrasound study of arm and leg arteries	19	19	$25.32	$11.55
75716 Review by radiologist of both arms or legs arteries image	19	19	$138.00	$95.20
36200 Insertion of catheter into aorta	19	19	$338.00	$136.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	16	$78.00	$38.52
93990 Ultrasound of dialysis access	16	16	$28.00	$21.42
93880 Ultrasound of both sides of head and neck blood flow	14	14	$64.00	$39.79
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	13	13	$28.00	$12.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$199.00	$103.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	163	162	$64.00	$38.21
93970 Ultrasound study of arm or leg veins with compression and maneuvers	126	121	$72.00	$32.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	99	96	$48.00	$20.93
99213 Established patient office or other outpatient visit, typically 15 minutes	64	60	$132.47	$67.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$199.00	$100.14
93923 Complete ultrasound study of arm and leg arteries	55	54	$48.00	$21.51
93925 Ultrasound of leg arteries or artery grafts	52	52	$60.00	$36.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$199.00	$99.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	38	$79.00	$40.77
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$194.48	$97.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$265.00	$131.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$310.00	$146.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$140.00	$69.93
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	16	$122.00	$52.08
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	17	17	$70.00	$38.59
93922 Ultrasound study of arm and leg arteries	16	16	$26.00	$11.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	15	$78.00	$35.90
93990 Ultrasound of dialysis access	15	15	$28.00	$23.97
75716 Review by radiologist of both arms or legs arteries image	15	15	$138.00	$88.49
36200 Insertion of catheter into aorta	13	13	$338.00	$126.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	145	142	$64.00	$38.47
93970 Ultrasound study of arm or leg veins with compression and maneuvers	88	87	$72.00	$34.29
99213 Established patient office or other outpatient visit, typically 15 minutes	70	62	$133.00	$68.86
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	67	66	$48.00	$21.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	55	$199.00	$103.28
99221 Initial hospital inpatient care per day, typically 30 minutes	47	46	$196.00	$97.07
93923 Complete ultrasound study of arm and leg arteries	38	37	$48.00	$21.02
93925 Ultrasound of leg arteries or artery grafts	37	36	$60.00	$38.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$79.00	$41.38
75625 Radiological supervision and interpretation X-ray of abdominal aorta	33	30	$122.00	$55.22
36200 Insertion of catheter into aorta	32	27	$338.00	$128.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	19	$78.00	$38.38
75716 Review by radiologist of both arms or legs arteries image	29	28	$138.00	$63.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$199.00	$100.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	20	$140.00	$70.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$310.00	$150.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$265.00	$133.79

Medical Specialties & State Licenses

CMS Verified: 2021-03-18

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License SC 83058

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License OH 34.006764

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Lexington Health Inc

2728 Sunset Blvd, West Columbia, SC 291694872

Phone: 8039367095

Licking Memorial Health Professionals

1371 W Main St, Newark, OH 430553681

Phone: 2205641965

Secondary Practice Locations

2728 Sunset Blvd

West Columbia, SC 291694840

Phone: 8039367095

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. William Phillips , DO

Surgery - Vascular Surgery

NPI 1356343586

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

16 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Surgery (License #34.006764 in OH)

📍

Updated Practice Location October 28, 2020

Registered at 1371 W MAIN ST, NEWARK, OH 430553681 (Tel: 2205641965)

📍

Updated Business Mailing Address October 28, 2020

Registered at 1371 W MAIN ST, NEWARK, OH 430553681 (Tel: 2205641965)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2020

Surgery (License #83058 in SC)

📍

Updated Practice Location September 28, 2020

Registered at 2728 SUNSET BLVD, WEST COLUMBIA, SC 291694840 (Tel: 8039367095)

📍

Updated Business Mailing Address September 28, 2020

Registered at 470 HULON LN, WEST COLUMBIA, SC 291694841 (Tel: 8039367095)

👤

Provider Name / Credentials Updated September 28, 2020

Recorded as MARK DEFRANCISCO, DO

📍

Updated Practice Location January 27, 2020

Registered at 1371 WEST MAIN STREET, NEWARK, OH 43055 (Tel: 2205641965)

📍

Updated Business Mailing Address January 27, 2020

Registered at 1371 WEST MAIN STREET, NEWARK, OH 43055 (Tel: 2205641965)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2020

Surgery (License #34.006764 in OH)

✅

NPI Profile Active December 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 23, 2015

Registered at 150 TAYLOR STATION RD, SUITE 360, COLUMBUS, OH 432134440 (Tel: 6145463900)

📍

Updated Business Mailing Address December 23, 2015

Registered at 150 TAYLOR STATION RD, SUITE 360, COLUMBUS, OH 432134440 (Tel: 6145463900)

👤

Provider Name / Credentials Updated December 23, 2015

Recorded as MARK DEFRANCISCO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2015

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #34-00-6764-D in OH)

🟢

Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588605729

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 09, 2006

Last Update: March 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1371 W Main St

Newark, OH 430553681

Phone: 2205641965

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.