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MS. DANIELLE DEMARCO PA-C
NPI 1265603740
Physician Assistant in Stoneham, MA

Active since March 12, 2008PECOS EnrolledAccepts Medicare Assignment
91 MONTVALE AVE STE 208, STONEHAM, MA 02180(617) 636-6086(617) 636-2386 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Danielle Demarco Pa-c NPPES

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

MS. DANIELLE DEMARCO PA-C (NPI 1265603740) is an individual physician assistant in Stoneham, Massachusetts, licensed in Massachusetts (PA4172) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265603740
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. DANIELLE DEMARCOCredential: PA-C
Location Address91 MONTVALE AVE STE 208Stoneham, MA 02180-3649
Mailing Address12 Keeling RdWakefield, MA 01880-2012 · (617) 636-6086 · Fax (617) 636-2386
Phone(617) 636-6086
Fax(617) 636-2386
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 12, 2008
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1265603740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA4172✔ Licensed in CT · 001418
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA4172 (MA)
91 MONTVALE AVE STE 208, Stoneham, MA 02180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ms. Danielle Demarco Pa-c 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 ID143477307
PECOS Enrollment IDI20120823000674
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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
310 services278 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
145 services136 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
91 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services32 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.
45 services34 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.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02180 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

DR. JENNIFER MARY LANE M.D.
Surgery
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (781) 306-6166
DR. ANDRAS SANDOR M.D.
Surgery
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (781) 418-1900
ARIANA JOSEPHINE DUCLOS RN
Registered Nurse
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (617) 636-6086
ADAM BLAU M.D.
Surgery
91 MONTVALE AVE STE 208
STONEHAM, MA 02180
Middlesex County (781) 620-4984

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 Danielle Demarco's NPI number?

The NPI number for Danielle Demarco is 1265603740. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Danielle Demarco located?

Danielle Demarco practices at 91 Montvale Ave Ste 208, Stoneham, MA 02180. The listed phone number is (617) 636-6086.

What is Danielle Demarco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Demarco enrolled in Medicare?

Yes. Danielle 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 Danielle Demarco accept?

Health plans from Anthem Blue Cross and Blue Shield list Danielle 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 Danielle Demarco affiliated with any hospitals?

According to CMS data, Danielle Demarco is affiliated with Melrosewakefield Healthcare and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Danielle Demarco was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.