DR. PAUL S. DEMARCO DPM
NPI 1215975065
Podiatrist - Foot & Ankle Surgery in Somers Point, NJ

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
401 SHORE RD, SOMERS POINT, NJ 08244(609) 927-4894(609) 601-1439 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul S. Demarco Dpm NPPES

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

DR. PAUL S. DEMARCO DPM (NPI 1215975065) is an individual foot & ankle surgery provider in Somers Point, New Jersey, licensed in New Jersey (MD02049) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Shore Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1215975065
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PAUL S. DEMARCOCredential: DPM
Location Address401 SHORE RDSomers Point, NJ 08244-2630
Mailing Address401 Shore RdSomers Point, NJ 08244-2630 · (609) 927-4894 · Fax (609) 601-1439
Fax(609) 601-1439
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJune 3, 2006
Last NPPES UpdateJanuary 6, 2010
NPI 1215975065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NJ · MD02049
401 SHORE RD, Somers Point, NJ 08244

Other Identifiers 8

OtherP647797NJ · Oxford Health Id
Medicare ID-Type Unspecified667461NJ · Provider Number
Medicaid6272801NJ
Other1087436NJ · Horizon Nj Health Id
Other2556601NJ · Aetna Id
Medicare UPINU18199
Other0500375000NJ · Amerihealth Hmo Id
Other0841409000NJ · Amerihealth Practice Id

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. Paul S. Demarco Dpm 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 ID9335282409
PECOS Enrollment IDI20100211000649
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 14

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.
746 services425 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
244 services35 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
209 services84 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.
186 services186 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.
104 services82 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.
71 services49 patients

Hospital Affiliations CMS Care Compare

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

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers27 claims53 services$59.37 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier20 claims120 services$37.54 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 2

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

Podiatrist (Foot & Ankle Surgery)
401 SHORE RD
SOMERS POINT, NJ 08244
Podiatrist (Foot & Ankle Surgery)
401 SHORE RD
SOMERS POINT, NJ 08244

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 Paul Demarco's NPI number?

The NPI number for Paul Demarco is 1215975065. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Paul Demarco located?

Paul Demarco practices at 401 Shore Rd, Somers Point, NJ 08244. The listed phone number is (609) 927-4894.

What is Paul Demarco's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Paul Demarco enrolled in Medicare?

Yes. Paul 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 Paul Demarco affiliated with any hospitals?

According to CMS data, Paul Demarco is affiliated with Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Demarco was last updated on January 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.