Dr. Damian Angelo Defrancesch, MD

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Ochsner Lafayette General Medical Center Hospital · Lafayette, LA · listed as Lafayette General Medical Center Inc

Colleagues at Lafayette Health Ventures Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 299 clinicians in the practice; 12 are shown here.

• Virginia Guillory Dabadie, CRNA Certified Registered Nurse Anesthetist · Metairie, LA
• James Michael Doolittle Certified Registered Nurse Anesthetist · Pittsburgh, PA
• Kathryn Kaufman Duplantis, FNP Family Nurse Practitioner · Saint Martinville, LA
• Mary Alden Fontenot, CRNA Certified Registered Nurse Anesthetist · Lafayette, LA
• Jeffry Gaspard, CRNA Certified Registered Nurse Anesthetist · Metairie, LA
• Laura Montgomery Gaspard, CRNA Certified Registered Nurse Anesthetist · Metairie, LA
• Courtney Lejeune Mankin, FNP Family Nurse Practitioner · Lafayette, LA
• Dr. Nicholas McCullough, DNP-NA, CRNA Certified Registered Nurse Anesthetist · Lafayette, LA
• Mrs. Brooke Erin McIntyre, FNP Nurse Practitioner · Farmers Branch, TX
• Sarah Elizabeth Navarre, FNP Family Nurse Practitioner · Lafayette, LA
• Mrs. Sherelle Sion Pickney, FNP-BC Psychiatric/Mental Health Nurse Practitioner · Carencro, LA
• John Reese Certified Registered Nurse Anesthetist · Lafayette, LA

Other providers in Natchitoches

• Dr. Willliam A Ball Jr., MD

  Individual Surgery Physician · NPI 1689785396

  601 Keyser Ave, Natchitoches, LA 71457-6020 · (318) 214-5770

• Dr. Steven Michael Jackson, DO

  Individual Surgery Physician · NPI 1033379524

  601 Keyser Ave, Natchitoches, LA 71457-6020 · (318) 354-2555

• Nrmc Physician IPA Inc

  Organization Surgery Physician · NPI 1497283733

  601 Keyser Ave, Natchitoches, LA 71457-6020 · (318) 214-5770

• William D. Zeichner a Medical Corporation

  Organization Surgery Physician · NPI 1023271707

  651 Bienville Cir, Natchitoches, LA 71457-5744 · (318) 357-1200

• William Daniel Zeichner, MD

  Individual Surgery Physician · NPI 1861483869

  651 Bienville Cir, Natchitoches, LA 71457-5744 · (318) 357-1200