Donald Defabio, DC
NPI 1538175716 · Orthopedic Chiropractor · Berkeley Heights, NJ
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Defabio, DC is a Orthopedic Chiropractor provider in Berkeley Heights, NJ (NPI 1538175716).
Provider details
- NPI number
- 1538175716
- Entity type
- Individual
- Primary specialty
- Orthopedic ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 38MC00282000 (NJ)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
- Sports Physician Chiropractor111NS0005X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,226 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Chiropractic Manipulative Treatment, 3-4 Spinal Regions98941 | 1,226 | $43 |
Typical Medicare-allowed amounts for these services range $43–$43 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2025-09-11
Frequently asked questions
- What is Donald Defabio's NPI number?
- Donald Defabio's National Provider Identifier (NPI) is 1538175716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Defabio's specialty?
- Donald Defabio is listed in the NPPES registry with a primary specialty of Orthopedic Chiropractor (Chiropractic Providers).
- Where is Donald Defabio located?
- Donald Defabio's practice location on file with NPPES is 308 Springfield Ave, Berkeley Heights, NJ 07922-1278.
- What is Donald Defabio's phone number?
- The practice phone number listed in the NPPES registry for Donald Defabio is (908) 771-0220.
- Does Donald Defabio accept Medicare?
- Donald Defabio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Defabio's NPI active?
- Yes — Donald Defabio's NPI (1538175716) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.