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Theresa M. Franks, MD

NPI 1396700704ActiveIndividual· Obstetrics & Gynecology· Fullerton, CA

Opted out of Medicare from July 2026 to July 2028. Obstetrics & Gynecology (MD) in Fullerton, California, trained at University of California, Geffen School of Medicine (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $109,581 for 1,029 claims, against $29,698 paid for services in 2024. Coloplast Corp was the largest of 5 companies reporting payments in 2025, $182.45 in all, mostly food and beverage.

Overview

NPI1396700704
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedApr 19, 2006
Last updated in NPPESOct 22, 2021
Certified by providerOct 22, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Obstetrics & Gynecology Primary207V00000XG80309CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 1, 2026 – Jul 1, 2028
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients244
Services billed496 across 19 procedure codes
Paid by Medicare$29,698

Part D prescriptions in 2024

Prescriptions (claims)1,029 · 2,484 30-day fills
Patients285
Total drug cost$109,581
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of California, Geffen School of Medicine
Graduation year1993
Medicare specialtyObstetrics/Gynecology

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$182.45 · 8 payments from 5 companies
  • 2024$116.05 · 6 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$182.45 · 8 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Obstetrics & Gynecology providers in Fullerton

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