KARL S DEMARCO MD
NPI 1205483781
Family Medicine in Tyndall, SD

Q: What is Karl Demarco's NPI number?

The NPI number for Karl Demarco is 1205483781. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Karl Demarco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Karl Demarco was last updated on September 12, 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.

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment

410 W 16TH AVE, TYNDALL, SD 57066(605) 589-2100(605) 589-2115 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, Aug 20, 2019 (2 updates tracked since 2019).

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About Karl S Demarco Md NPPES

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

KARL S DEMARCO MD (NPI 1205483781) is an individual family medicine provider in Tyndall, South Dakota, licensed in South Dakota (13975) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Avera Sacred Heart Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205483781

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKARL S DEMARCOCredential: MD

Location Address410 W 16TH AVETyndall, SD 57066-2318

Mailing Address410 W 16th AveTyndall, SD 57066-2318 · (605) 589-2100 · Fax (605) 589-2115

Phone(605) 589-2100

Fax(605) 589-2115

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 20, 2019

Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1205483781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 13975

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

410 W 16TH AVE, Tyndall, SD 57066

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karl S 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 ID2163815192

PECOS Enrollment IDI20221206001108

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.

Medicare Billing Reassignment

Medicare enrollment records show Karl Demarco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Michael's Hospital, Inc.

Same address

Critical Access Hospital

410 W 16TH AVE
Tyndall, SD 57066

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1730123522 (South Dakota)
4 clinicians in this Medicare group

NPI 1467496158 (605) 589-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430012

Location501 Summit StYankton, SD 57078 · Yankton County

Emergency services Birthing friendly

St Michael's Hospital - Cah

Critical Access Hospitals · Tyndall, SD

OwnershipGovernment - Local

CMS Certification Number431327

Location410 W 16th AveTyndall, SD 57066 · Bon Homme County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57066 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

Other Providers at the Same Location NPPES 20

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

ST. MICHAEL'S HOSPITAL, INC.

Pharmacy