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AMY LAUREN DEMARCO M.D.
NPI 1023351640
Obstetrics & Gynecology in Setauket, NY

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
200 MAIN ST STE 2, SETAUKET, NY 11733(631) 751-9595(631) 751-2322 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Lauren Demarco M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY LAUREN DEMARCO M.D. (NPI 1023351640) is an individual obstetrics & gynecology provider in Setauket, New York, licensed in New York (288446) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1023351640
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAMY LAUREN DEMARCOCredential: M.D.
Location Address200 MAIN ST STE 2Setauket, NY 11733-2918
Mailing Address101 Nicholls Road Hsc, T9, Department Of Ob/gyn, Stony Brook University Medical CeStony Brook, NY 11794 · (631) 444-4686 · Fax (631) 444-4622
Phone(631) 751-9595
Fax(631) 751-2322
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2013
Last NPPES UpdateMay 3, 2024
NPPES CertifiedApril 13, 2022
✔ NPI 1023351640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 288446
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
200 MAIN ST STE 2, Setauket, NY 11733
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Secondary Practice Location 1

Location 1101 Nicholls Road HSC, T9, Department of OB/GYN, Stony Brook University Medical CeStony Brook, NY 11794 · Phone (631) 444-4686 · Fax (631) 444-4622

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Lauren Demarco M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759638026
PECOS Enrollment IDI20180717003997
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
21 services19 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
18 services18 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE A MARTORANA NP
Nurse Practitioner (Obstetrics & Gynecology)
200 MAIN ST STE 2
SETAUKET, NY 11733
Suffolk County (631) 751-9595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Demarco's NPI number?

The NPI number for Amy Demarco is 1023351640. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Amy Demarco located?

Amy Demarco practices at 200 Main St Ste 2, Setauket, NY 11733. The listed phone number is (631) 751-9595.

What is Amy Demarco's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amy Demarco enrolled in Medicare?

Yes. Amy Demarco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amy Demarco affiliated with any hospitals?

According to CMS data, Amy Demarco is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Amy Demarco was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.