Medicare Enrolled

Dr. Constance Defreest, M.S., N.P.

Psychiatric/Mental Health Nurse Practitioner · Wappingers Falls, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1285 ROUTE 9, Wappingers Falls, NY 12590
8456322939
In practice since 2009 (17 years)
NPI: 1154550127 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Defreest from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Defreest

Dr. Constance Defreest is a psychiatric/mental health nurse practitioner in Wappingers Falls, NY, with 17 years of NPI registration. Based on federal Medicare data, Dr. Defreest performed 245 Medicare services across 70 unique beneficiaries.

Between the years covered by Open Payments, Dr. Defreest received a total of $8,093 from 24 pharmaceutical and/or device companies across 389 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in psychiatric/mental health nurse practitioner. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Defreest is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years in practice ▲ Top 38% volume in NY $8,093 industry payments

Medicare Practice Summary

Medicare Utilization ↗
245
Medicare services
Top 38% in NY for psychiatric/mental health nurse practitioner
70
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~14 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Psychotherapy and evaluation, 30 minutes
A combined session involving psychotherapy and an evaluation and management visit lasting 30 minutes.
 121 $39 $115
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
 90 $42 $125
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
 34 $69 $148
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,093
Total received (2021-2024)
Avg $2,023/year across 4 years
Top 3% in NY for psychiatric/mental health nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
389
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,093 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,203
2023
$1,935
2022
$2,479
2021
$1,476

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$596
Axsome Therapeutics, Inc.
$347
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$337
Otsuka America Pharmaceutical, Inc.
$255
Corium, LLC
$168
Lundbeck LLC
$108
Neos Therapeutics, LP
$87
Alkermes, Inc.
$87
Almatica Pharma LLC
$65
Janssen Pharmaceuticals, Inc
$56
Neurocrine Biosciences, Inc.
$55
Takeda Pharmaceuticals U.S.A., Inc.
$42
Top 3 companies account for 58.1% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$1,927
Otsuka America Pharmaceutical, Inc.
$955
Neurocrine Biosciences, Inc.
$563
ITI, Inc.
$556
Alkermes, Inc.
$504
Lundbeck LLC
$439
Sunovion Pharmaceuticals Inc.
$347
Axsome Therapeutics, Inc.
$347
Corium, LLC
$340
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$337
Avanir Pharmaceuticals, Inc.
$325
Takeda Pharmaceuticals U.S.A., Inc.
$308
Bausch Health US, LLC
$223
AbbVie Inc.
$194
Teva Pharmaceuticals USA, Inc.
$158
Vanda Pharmaceuticals Inc.
$135
Almatica Pharma LLC
$135
Neos Therapeutics, LP
$108
Janssen Pharmaceuticals, Inc
$71
IDORSIA PHARMACEUTICALS US INC
$39
Supernus Pharmaceuticals, Inc.
$27
EISAI INC.
$19
Eisai Inc.
$17
JAZZ PHARMACEUTICALS INC.
$15
Top 3 companies account for 42.6% of all-time payments
Associated products mentioned in payments ›
ABILIFY MYCITE · APLENZIN · ARISTADA · AUSTEDO · AZSTARYS · Adzenys XR-ODT · Austedo XR · Auvelity · Azstarys · BRINTELLIX · CAPLYTA · Dayvigo · FANAPT · GRALISE · INGREZZA · INVEGA SUSTENNA · LATUDA · LOREEV XR · LYBALVI · NUEDEXTA · Nuedexta · QELBREE · QUVIVIQ · REXULTI · SUNOSI · TRINTELLIX · UBRELVY · UZEDY · VRAYLAR · VYVANSE
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for psychiatric/mental health nurse practitioner in NY.

Looking for a psychiatric/mental health nurse practitioner in Wappingers Falls?
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Geographic Context

Psychiatric/mental health nurse practitioners within 10 mi
103
Per 100K population
34.7
County median income
$97,273
Nearest hospital
VASSAR BROTHERS MEDICAL CENTER
7.8 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Defreest is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 3% of NY peers, with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Defreest experienced with psychotherapy and evaluation, 30 minutes?
Based on Medicare claims data, Dr. Defreest performed 121 psychotherapy and evaluation, 30 minutes services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Defreest receive payments from pharmaceutical companies?
Yes. Dr. Defreest received a total of $8,093 from 24 companies across 389 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Defreest's costs compare to other psychiatric/mental health nurse practitioners in Wappingers Falls?
Dr. Defreest's average Medicare payment per service is $45. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Defreest) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →