DR. JAMES ROBERT DEMARCO MD
NPI 1174510622
Orthopaedic Surgery in Mount Pleasant, SC

Q: What is James Demarco's NPI number?

The NPI number for James Demarco is 1174510622. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is James Demarco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Demarco was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment

180 WINGO WAY STE 301, MOUNT PLEASANT, SC 29464(843) 884-0302(843) 849-9308 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2020, Oct 29, 2020 (2 updates tracked since 2020).

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About Dr. James Robert Demarco Md NPPES

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

DR. JAMES ROBERT DEMARCO MD (NPI 1174510622) is an individual orthopaedic surgery provider in Mount Pleasant, South Carolina, licensed in South Carolina (18883) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1993).

NPPES Registry Identity

NPI1174510622

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES ROBERT DEMARCOCredential: MD

Location Address180 WINGO WAY STE 301Mount Pleasant, SC 29464-1812

Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2440

Phone(843) 884-0302

Fax(843) 849-9308

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1993

Enumeration DateSeptember 30, 2005

Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1174510622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in SC · 18883

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 18883 (SC)

180 WINGO WAY STE 301, Mount Pleasant, SC 29464

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Other Identifiers 3

OtherP00886833SC · Railroad Mc Id-rsfpn

Medicaid188834SC

MedicaidDM0683SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

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

Dr. James Robert Demarco Md 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 ID42203770

PECOS Enrollment IDI20100803000599

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 21

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 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.

435 services282 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

433 services250 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

235 services177 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

227 services88 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.

186 services135 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

164 services30 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

130 services129 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

87 services77 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

62 services47 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

59 services59 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

56 services56 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

44 services43 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

29 services21 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

27 services27 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

24 services23 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

23 services22 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

22 services22 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

20 services20 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

19 services19 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

17 services17 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420065

Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County

Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420087

Location316 Calhoun StCharleston, SC 29401 · Charleston County

Emergency services

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420104

Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County

Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420110

Location300 Callen BlvdSummerville, SC 29486 · Dorchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660

DME-Orthotic Devices · category DF000N

1 supplier17 claims17 services$78.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

PALMETTO ORTHO OF CHAS, PA

Specialist

180 WINGO WAY STE 301
MOUNT PLEASANT, SC 29464

Charleston County (843) 884-0302

CHRISTEN MARIE MACKORELL PA-C

Physician Assistant (Surgical)

180 WINGO WAY STE 301
MOUNT PLEASANT, SC 29464

Charleston County (843) 884-0302

DR. WADDELL H GILMORE III M.D.

Orthopaedic Surgery

180 WINGO WAY STE 301
MOUNT PLEASANT, SC 29464

Charleston County (843) 884-0302

ALLISON ANN SWANSON PA

Physician Assistant (Surgical)

180 WINGO WAY STE 301
MT PLEASANT, SC 29464

Charleston County (843) 853-3474

MR. TYLER RYAN LEFEBVRE PA-C

Physician Assistant (Surgical)

180 WINGO WAY STE 301
MT PLEASANT, SC 29464

Charleston County (843) 884-0302

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 James Demarco's NPI number?

The NPI number for James Demarco is 1174510622. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is James Demarco located?

James Demarco practices at 180 Wingo Way Ste 301, Mount Pleasant, SC 29464. The listed phone number is (843) 884-0302.

What is James Demarco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Demarco enrolled in Medicare?

Yes. James 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.

What insurance does James Demarco accept?

Health plans from First Choice Next list James Demarco 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.

Is James Demarco affiliated with any hospitals?

According to CMS data, James Demarco is affiliated with Musc Medical Center, Bon Secours-St Francis Xavier Hospital, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for James Demarco was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.