IndividualActiveAccepts Medicare

Lori Defreest, MD, PHD

NPI 1295969574 · Surgery Physician · Albany, NY

Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1295969574
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD, PHD
Sex: Female
Sole proprietor: No
License: 62821 (NY)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense 278120 (NY)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000XLicense 62821 (NY)
Student, Health Care

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
17 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
3 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
435 Medicare services, 2024 (ranked within specialty)
Open Payments transparency10% of score
Has Open Payments disclosures (2024)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	217	$73
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222	79	$122
Critical Care, First 30-74 Minutes99291	70	$199
Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231	45	$47
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	24	$107

Typical Medicare-allowed amounts for these services range $47–$199 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$34 across 2 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

47 New Scotland Ave

Albany, NY 12208-3412

Phone: (518) 262-2000

Street-level locationGet directions

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Mailing address