Individual provider Active NPI

Lori Ann Defreest, MD, PHD

  • Surgery Physician
  • Albany, NY
National Provider Identifier
1295969574
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
278120 Issued in NY
Practice address
47 New Scotland Ave
Albany, NY 12208-3412
Phone
(518) 262-2000
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 62821 NY
Surgery Physician 208600000X 278120 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-2000

Other practice location 1

214 Cornelia St
Plattsburgh, NY 12901-2317
Phone (518) 561-6410

Other practice location 2

16 3rd St
Malone, NY 12953-1365
Phone (518) 481-2632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002223 NY Practitioner - General Surgery 3870801004 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Albany Medical College of Union University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champlain Valley Physicians Hospital Medical CenterGroup PAC ID 2769396878, 356 clinicians

Practice addresses (Care Compare)

214 Cornelia St
Suite 102
Plattsburgh, NY 12901-2332
Phone (518) 561-6410

Hospital & facility affiliations

  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
278120NYMDSurgery Physician
62821NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Surgery CurrentSince Jan 27, 2025 Accepting new patients
Albany Medical College CurrentSince Sep 8, 2015 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Albany Medical College CurrentSince Sep 8, 2015 Accepting new patients
Albany Medical College Surgery CurrentSince Jun 1, 2019 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Surgery CurrentSince Sep 30, 2024 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Champlain Valley Physicians Hospital Medical Center Past Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

214 Cornelia St
Plattsburgh, NY 12901
Phone (518) 561-6410

214 Cornelia St
Ste 102
Plattsburgh, NY 12901
Phone (518) 561-6410

Interoperability endpoints

  • Direct secure messaging: ldefreest23858@albanymed.direct-ci.com
  • Direct secure messaging: ldefreest595562@direct.uvmhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1295969574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Cornelia St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012317",
            "country_code": "US",
            "telephone_number": "518-561-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 3rd St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531365",
            "country_code": "US",
            "telephone_number": "518-481-2632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFREEST",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "62821",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "278120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.