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DR. MARCO MAURO DE SANTIS D.O.
NPI 1104080977
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newark, OH

Active since July 10, 2008PECOS Enrolled
79.35/100
CMS Quality Rating
1272 WEST MAIN STREET, SUITE 204, NEWARK, OH 43055(220) 564-1740(220) 564-1741 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Mar 18, 2021, Nov 2, 2020 and 2 more (5 updates tracked since 2015).

About Dr. Marco Mauro De Santis D.o. NPPES

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

DR. MARCO MAURO DE SANTIS D.O. (NPI 1104080977) is an individual endocrinology, diabetes & metabolism provider in Newark, Ohio, licensed in Ohio (34.013718) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104080977
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MARCO MAURO DE SANTISCredential: D.O.
Location Address1272 WEST MAIN STREET, SUITE 204Newark, OH 43055
Mailing Address1272 West Main Street, Suite 204Newark, OH 43055 · (220) 564-1740 · Fax (855) 299-8816
Phone(220) 564-1740
Fax(220) 564-1741
Sole ProprietorYes
Enumeration DateJuly 10, 2008
Last NPPES UpdateAugust 13, 20245 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1104080977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OH · 34.013718
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34.013718 (OH), 5101017743 (MI)
1272 WEST MAIN STREET, Newark, OH 43055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Arkansas Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marco Mauro De Santis D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

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.
102 services93 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
51 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services26 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
27 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers34 claims431 services$17.67 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers32 claims1,040 services$2.34 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$176.84 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers71 claims322 services$5.85 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers44 claims44 services$306.01 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
3 suppliers11 claims2,540 services$6.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

AHMED F. KANDEEL M.D.
Surgery
1272 WEST MAIN STREET, SUITE 302
NEWARK, OH 43055
Licking County (220) 564-1880
LICKING MEMORIAL PROFESSIONAL CORPORATION
Urology
1272 WEST MAIN STREET, BLDG 4
NEWARK, OH 43055
Licking County (740) 348-1750
LICKING MEMORIAL PROFESSIONAL CORPORATION
Psychiatry & Neurology (Neurology)
1272 WEST MAIN STREET, BLDG 2
NEWARK, OH 43055
Licking County (740) 348-7985
LICKING MEMORIAL HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1272 WEST MAIN STREET, SUITE 401
NEWARK, OH 43055
Licking County (220) 564-4544

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 Marco De Santis's NPI number?

The NPI number for Marco De Santis is 1104080977. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Marco De Santis located?

Marco De Santis practices at 1272 West Main Street Suite 204, Newark, OH 43055. The listed phone number is (220) 564-1740.

What is Marco De Santis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Marco De Santis enrolled in Medicare?

Yes. Marco De Santis is registered in the Medicare PECOS enrollment system.

What insurance does Marco De Santis accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Arkansas Blue Cross and Blue Shield, CareSource and Health Advantage and 1 other insurer list Marco De Santis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marco De Santis was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.