Dr. Mark T Defrancisco , DO
Surgery - Vascular Surgery • Newark, OH
1371 W Main St
Newark, OH 430553681
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Mark Defrancisco is listed in NPPES under Surgery - Vascular Surgery.
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NPI assigned on June 9, 2006; this date does not establish years in practice.
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Published CMS data list 499 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 93971 — Ultrasound study of one arm or leg veins with compression and maneuvers: 104 service units.
- 93880 — Ultrasound of both sides of head and neck blood flow: 75 service units.
- 99213 — Established patient outpatient office visit: 72 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 371 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Clopidogrel (Clopidogrel Bisulfate) — 180 prescription fills, including refills.
- Cilostazol — 118 prescription fills, including refills.
- Eliquis (Apixaban) — 37 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 152 clinicians with data). Median for this group: 690. Middle half: 363 to 1,050.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 441 in 2020 to 499 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1371 W Main St
Newark, OH 430553681
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in West Columbia, SC. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Lexington Health Inc; Licking Memorial Health Professionals. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Ohio University, College Of Osteopathic Medicine
1995
What Public CMS Data Show
Surgery - Vascular Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
403 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $26,907 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $19,815 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
656 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$48,266 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $776.74 across 7 records.
By nature of payment
- Food and Beverage: $776.74 across 7 records.
Reporting-company totals
- Endologix LLC: $594.71 across 5 records.
- W. L. Gore & Associates, Inc.: $182.03 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Defrancisco has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Defrancisco as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Newark and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 152 clinicians with data). Median for this group: 690. Middle half: 363 to 1,050.
Too few clinicians listed under Surgery - Vascular Surgery in Newark have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 152 clinicians with data). Median for this group: $46,300. Middle half: $29,541 to $79,811.
Too few clinicians listed under Surgery - Vascular Surgery in Newark have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 152 clinicians with data). Median for this group: $34,641. Middle half: $21,156 to $59,884.
Too few clinicians listed under Surgery - Vascular Surgery in Newark have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 135 clinicians with data). Median for this group: 145. Middle half: 46 to 249.
Too few clinicians listed under Surgery - Vascular Surgery in Newark have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Surgery - Vascular Surgery in Ohio (2024, 135 clinicians with data). Median for this group: $11,950. Middle half: $549 to $39,295.
Too few clinicians listed under Surgery - Vascular Surgery in Newark have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Surgery - Vascular Surgery with a practice address in Newark, OH (241 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 13% from 441 in 2020 to 499 in 2024.
- 2020: 441
- 2021: 583
- 2022: 654
- 2023: 590
- 2024: 499
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $26,307 in 2020 and $26,907 in 2024.
- 2020: $26,307
- 2021: $34,864
- 2022: $40,533
- 2023: $33,979
- 2024: $26,907
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Paid by Medicare
Paid by Medicare stayed about the same: $20,542 in 2020 and $19,815 in 2024.
- 2020: $20,542
- 2021: $25,618
- 2022: $30,375
- 2023: $24,937
- 2024: $19,815
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 73% from 214 in 2020 to 371 in 2024.
- 2020: 214
- 2021: 184
- 2022: 314
- 2023: 343
- 2024: 371
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30-day fills
30-day fills increased 66% from 396 in 2020 to 656 in 2024.
- 2020: 396
- 2021: 307
- 2022: 522
- 2023: 602
- 2024: 656
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Part D drug cost
Part D drug cost increased 143% from $19,890 in 2020 to $48,266 in 2024.
- 2020: $19,890
- 2021: $2,885
- 2022: $18,257
- 2023: $36,949
- 2024: $48,266
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $83.55 in 2021 to $776.74 in 2025.
- 2021: $83.55
- 2022: $207.24
- 2023: $642.01
- 2024: $570.02
- 2025: $776.74
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $776.74.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Endologix LLC |
Food and Beverage
In-kind items and services
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Torus Stent Graft System | General | $181.08 |
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
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GORE VIABAHN VBX Balloon Expandable Endo | General | $172.59 |
| Endologix LLC |
Food and Beverage
In-kind items and services
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— | General | $138.30 |
| Endologix LLC |
Food and Beverage
In-kind items and services
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ENDOCROSS Device | General | $132.91 |
| Endologix LLC |
Food and Beverage
In-kind items and services
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— | General | $120.12 |
| Endologix LLC |
Food and Beverage
In-kind items and services
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— | General | $22.30 |
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
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EXCLUDER Conformable AAA Endoprosthesis with Active Control | General | $9.44 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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93971
Ultrasound study of one arm or leg veins with compression and maneuvers
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104 | 99 | $37.00 | $19.82 |
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93880
Ultrasound of both sides of head and neck blood flow
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75 | 73 | $59.00 | $35.77 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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72 | 62 | $138.00 | $84.93 |
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93970
Ultrasound study of arm or leg veins with compression and maneuvers
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65 | 63 | $56.00 | $31.25 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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46 | 40 | $195.00 | $121.46 |
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93922
Ultrasound study of arm and leg arteries
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45 | 45 | $21.00 | $10.96 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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26 | 26 | $258.00 | $158.92 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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23 | 20 | $218.00 | $124.01 |
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93979
Ultrasound of aorta, vena cava, groin vessels or bypass grafts
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16 | 16 | $37.00 | $21.36 |
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93923
Complete ultrasound study of arm and leg arteries
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14 | 14 | $37.00 | $20.73 |
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76706
Ultrasound scan of abdominal aorta
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13 | 13 | $45.00 | $24.65 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Clopidogrel | Clopidogrel Bisulfate | 180 | 9,330 | $1,486.18 | 38 |
| Cilostazol | Cilostazol | 118 | 7,560 | $2,093.53 | 34 |
| Eliquis | Apixaban | 37 | 1,710 | $32,091.25 | — |
| Xarelto | Rivaroxaban | 23 | 690 | $12,556.23 | — |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | 62 | $38.69 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-03-18NUCC Taxonomy Code: 2086S0129X
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
NUCC Taxonomy Code: 2086S0129X
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - VASCULAR SURGERY
I20200502000244
SC
6709852551
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery - Vascular Surgery
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Surgery (license number reported to NPPES: OH 34.006764)
Registered at 1371 W MAIN ST, NEWARK, OH 430553681 (Tel: 2205641965)
Registered at 1371 W MAIN ST, NEWARK, OH 430553681 (Tel: 2205641965)
Surgery (license number reported to NPPES: SC 83058)
Registered at 2728 SUNSET BLVD, WEST COLUMBIA, SC 291694840 (Tel: 8039367095)
Registered at 470 HULON LN, WEST COLUMBIA, SC 291694841 (Tel: 8039367095)
Recorded as MARK DEFRANCISCO, DO
Registered at 1371 WEST MAIN STREET, NEWARK, OH 43055 (Tel: 2205641965)
Registered at 1371 WEST MAIN STREET, NEWARK, OH 43055 (Tel: 2205641965)
Surgery (license number reported to NPPES: OH 34.006764)
NPI status registered as active in NPPES database
Registered at 150 TAYLOR STATION RD, SUITE 360, COLUMBUS, OH 432134440 (Tel: 6145463900)
Registered at 150 TAYLOR STATION RD, SUITE 360, COLUMBUS, OH 432134440 (Tel: 6145463900)
Recorded as MARK DEFRANCISCO
Thoracic Surgery (Cardiothoracic Vascular Surgery) (license number reported to NPPES: OH 34-00-6764-D)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery - Vascular Surgery Specialists in Newark
Healthcare providers in NewarkMailing Address
1371 W Main St
Newark, OH 430553681
Phone: 2205641965