DR. RICHARD JOSEPH DEFRANCO MD
NPI 1023213105
Psychiatry & Neurology - Addiction Medicine in Mentor, OH
NPI Status: Active since June 18, 2007
- Individual
- Male
- Psychiatry & Neurology
- Addiction Medicine
- Accepts Insurance
- PECOS Enrolled
About RICHARD DEFRANCO
This page provides the complete NPI Profile along with additional information for Richard Defranco, a provider established in Mentor, Ohio with a medical specialization in Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1023213105 assigned on June 2007. The practitioner's primary taxonomy code is 2084A0401X with license number 57.011103 (OH). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1023213105
- Provider Name
- DR. RICHARD JOSEPH DEFRANCO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7232 JUSTIN WAY MENTOR, OH 44060
- Location Phone
- (440) 578-8200
- Mailing Address
- 7232 JUSTIN WAY MENTOR, OH 44060
- Mailing Phone
- (440) 578-8200
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2007
- Last Update Date
- 01-28-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Medicine
- Taxonomy Code
- 2084A0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 57.011103
- License State
- OH
- Taxonomy Description
- A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 57.011103 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0192079 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Richard Defranco is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44060 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 2 | 1 | 3 | 1 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 4 | 1 | 6 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 4 + 1 + 6 + 1 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1023213105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518431352 | BRETT BENNETT Individual | Case Manager/Care Coordinator | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 953-9999 |
| 1467084889 | ALEXANDRA SHAFER Individual | Licensed Practical Nurse | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1871106948 | ANTHONY PATRICK KOCH Individual | Case Manager/Care Coordinator | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 754-2078 |
| 1871107250 | NICOLE ROSE MONYAK LPC, CDCA, AT Individual | Counselor (Professional) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 953-9999 |
| 1255946026 | DONNA MARIE STOKES Individual | Licensed Practical Nurse | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1144837006 | JOHN ROBERT MAGERKO PBT(ASCP) Individual | Technician, Pathology (Phlebotomy) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1760099428 | LISA QUERCIOLI LPN Individual | Licensed Practical Nurse | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1700493905 | DANIELLA ANNE PONOMARENKO Individual | Licensed Practical Nurse | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1033695499 | MR. RICHARD E JENKINS LPC Individual | Counselor (Professional) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1639714462 | MICHAEL SANKEY Individual | Case Manager/Care Coordinator | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 754-2078 |
| 1518564483 | DENZEL HENDERSON Individual | Case Manager/Care Coordinator | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1154928810 | MRS. RENEE S. HOWELL MSSA Individual | Social Worker (Clinical) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1891392361 | JENNIFER KVORIAK Individual | Technician, Pathology (Phlebotomy) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 754-2078 |
| 1417555921 | YALONDA ROBINSON Individual | Specialist/Technologist, Health Information | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1750940086 | MICHELE SANDERS Individual | Case Manager/Care Coordinator | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 754-2078 |
| 1528070125 | MEGAN WHETSTONE RPH Individual | Pharmacist | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1497841035 | BELINDA ROSE BROWN CNP Individual | Nurse Practitioner (Primary Care) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1093888273 | MRS. KERI ANN ROWE RPH Individual | Pharmacist | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1306904354 | DR. EILEEN S. MCGEE MD Individual | Psychiatry & Neurology (Psychiatry) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
| 1821273012 | MS. KATHLEEN ANN CHRISTY APRN Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Adult) | 7232 JUSTIN WAY MENTOR, OH 44060 (440) 578-8200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023213105, enumerated in the NPI registry as an "individual" on June 18, 2007
The provider is located at 7232 Justin Way Mentor, Oh 44060 and the phone number is (440) 578-8200
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084A0401X with a focus in Addiction Medicine
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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