DR. MICHAEL JAMES DIMARCO MD
NPI 1265878193
General Practice in Morton Grove, IL

Q: What is Michael Dimarco's NPI number?

The NPI number for Michael Dimarco is 1265878193. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Q: What is Michael Dimarco's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Dimarco was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 19, 2013PECOS EnrolledAccepts Medicare Assignment

8125 RIVER DR STE 102, MORTON GROVE, IL 60053(847) 470-1720(847) 470-1723 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2026, Apr 27, 2021, Sep 15, 2017 (3 updates tracked since 2017).

On this page

About Dr. Michael James Dimarco Md NPPES

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

DR. MICHAEL JAMES DIMARCO MD (NPI 1265878193) is an individual general practice provider in Morton Grove, Illinois, licensed in Illinois (036143520) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and is a graduate of Medical College Of Wisconsin (2013).

NPPES Registry Identity

NPI1265878193

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. MICHAEL JAMES DIMARCOCredential: MD

Location Address8125 RIVER DR STE 102Morton Grove, IL 60053-2642

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (563) 344-2240 · Fax (319) 356-3949

Phone(847) 470-1720

Fax(847) 470-1723

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2013

Enumeration DateMay 19, 2013

Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1265878193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IL · 036143520

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD-44888 (IA), A137583 (CA)

8125 RIVER DR STE 102, Morton Grove, IL 60053

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida 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

Dr. Michael James Dimarco 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 ID6800197088

PECOS Enrollment IDI20171012000426

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 Reassignments

Medicare enrollment records show Michael Dimarco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Health System

147 mi

Anatomic Pathology & Clinical Pathology

1227 E RUSHOLME ST
Davenport, IA 52803

Reassigned Medicare billing, Illinois enrollment
143 clinicians in this Medicare group

NPI 1295196798 (563) 355-9200

American Current Care Of Illinois PC

798 mi

Urgent Care

5080 SPECTRUM DR, SUITE 1200 WEST
Addison, TX 75001

Reassigned Medicare billing, Illinois enrollment
51 clinicians in this Medicare group

NPI 1285071241 (972) 720-7772

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

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.

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.

104 services92 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.

38 services37 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.

34 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 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.

18 services11 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers13 claims29 services$5.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$84.13 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

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

ALDONA T SHAHIN THERAPY DIR. I

Physical Therapist

8125 RIVER DR STE 102
MORTON GROVE, IL 60053

Cook County (847) 470-1720

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 Michael Dimarco's NPI number?

The NPI number for Michael Dimarco is 1265878193. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Where is Michael Dimarco located?

Michael Dimarco practices at 8125 River Dr Ste 102, Morton Grove, IL 60053. The listed phone number is (847) 470-1720.

What is Michael Dimarco's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Dimarco enrolled in Medicare?

Yes. Michael Dimarco 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.

Which organizations bill Medicare for Michael Dimarco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Dimarco reassigns Medicare benefits to 2 organizations: Genesis Health System (Davenport, IA) and American Current Care Of Illinois PC (Addison, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Dimarco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Dimarco accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Michael Dimarco 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 Michael Dimarco affiliated with any hospitals?

According to CMS data, Michael Dimarco is affiliated with University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Michael Dimarco was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.