NPI registry status
Active
2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1003972779 DO
Verify on CMS → Denice Franco, DO
Physical Medicine & Rehabilitation Physician in Saint James, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,618 in Physical Medicine & Rehabilitation Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Industry payments
$26.72
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Denice Franco, DO is a Physical Medicine & Rehabilitation Physician in Saint James, New York, listed in the federal CMS National Provider Identifier registry.
- Likely
- board-certified (heuristic)
- #61
- Physical Medicine & Rehabilitation Physician rank among New York specialties
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Denice Franco, DO
Federal registry listing with board-eligibility signals — verify credentials with the state medical board before clinical decisions.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1003972779), first enumerated 12/28/2006.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$26.72 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Denice Franco, DO's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1003972779 · Physical Medicine & Rehabilitation Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-NONE · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1003972779
- ENUM-LEGACY 2006
- TAX-MID 16K Physical Medicine
- RX-NONE No Part D
- BOOK-LIGHT 1,337 in New York
- PHOTO-ENUM Gerry Meier · 2006
✓
Board certification likely (heuristic, not verified)
Denice Franco, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Denice Franco, DO?
Quality data not reportedPrimary specialty
Physical Medicine & Rehabilitation Physician
Specialty distribution in New York
How Physical Medicine & Rehabilitation Physician compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Physical Medicine & Rehabilitation Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1003972779 |
|---|---|
| Specialty | Physical Medicine & Rehabilitation Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 12/28/2006 |
Hospital and facility affiliations
Facilities where Denice Franco, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Chs Physician Partners PC
Port Jefferson, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Denice Franco, DO. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
ABIOMED
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Denice Franco, DO. To verify Denice Franco, DO's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
More Physical Medicine & Rehabilitation Physician in NY →
All providers in New York →
Compare specialties →
Physical Medicine & Rehabilitation Physician Overview
How Denice Franco, DO fits within the Physical Medicine & Rehabilitation Physician landscape nationally.
15,618
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
793
Avg Claims per Provider
Nationwide Physical Medicine & Rehabilitation Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Franco, both outside New York so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physical Medicine & Rehabilitation Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Franco.
One of 1,337 Physical Medicine & Rehabilitation Physician providers enrolled in New York, 5 are shown here.
Chris Abate
PT
Rochester, NY
Laurel Abbruzzese
PT
New York, NY
Dr. Ehsan Abdeshahian
MD
New York, NY
Dr. Andrew Abdou
DO
White Plains, NY
Marie Abell
Johnson City, NY
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Denice Franco, DO's specialty? ▼
Denice Franco, DO specializes in Physical Medicine & Rehabilitation Physician and practices in Saint James, New York. Credentials: DO.
Where is Denice Franco, DO located? ▼
Denice Franco, DO is located at 631 LAKE AVE STE A, Saint James, NY, 11780. Phone: (631) 332-6923.
What is Denice Franco, DO's NPI number? ▼
Denice Franco, DO's National Provider Identifier (NPI) is 1003972779, issued on 12/28/2006.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,618 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 793 Medicare Part D claims per year.
Does Denice Franco, DO accept Medicare? ▼
Denice Franco, DO appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Denice Franco, DO's credentials? ▼
Denice Franco, DO's NPI is 1003972779 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.