BENJAMIN T DEMARCO MD
NPI 1306370135
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
1800 ORLEANS ST # 7125, BALTIMORE, MD 21287(410) 502-2533(410) 367-3252 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 24, 2023, Jun 15, 2021, Jun 11, 2020 and 2 more (5 updates tracked since 2017).

About Benjamin T Demarco Md NPPES

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

BENJAMIN T DEMARCO MD (NPI 1306370135) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D96793) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306370135
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBENJAMIN T DEMARCOCredential: MD
Location Address1800 ORLEANS ST # 7125Baltimore, MD 21287-0010
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Fax(410) 367-3252
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2017
Enumeration DateApril 19, 2017
Last NPPES UpdateAugust 24, 20235 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
NPI 1306370135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MD · D96793
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2021-00355 (NC)
1800 ORLEANS ST # 7125, Baltimore, MD 21287

Secondary Practice Locations 2

Location 1CB# 7020 130 Mason Farm Road, 4th Floor BioinformaticsChapel Hill, NC 27599-0001 · Phone (919) 966-2531 · Fax (919) 966-7013
Location 2102 Mason Farm RdChapel Hill, NC 27599-6134 · Phone (919) 966-1459 · Fax (919) 843-2356

Accepted 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

Benjamin T 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 ID2668749847
PECOS Enrollment IDI20210908002835
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 20

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.

Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
55 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
49 services49 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.
49 services47 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
44 services42 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.
43 services31 patients
Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance 32557
This procedure involves removing fluid from your chest cavity, which is the space around your lungs. A small tube is inserted, under image guidance, to drain the fluid. This tube stays in place to prevent fluid buildup, aiding in your breathing and comfort.
42 services40 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$26.12 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.

Internal Medicine (Pulmonary Disease)
1800 ORLEANS ST # 7125
BALTIMORE, MD 21287

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 Benjamin Demarco's NPI number?

The NPI number for Benjamin Demarco is 1306370135. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Benjamin Demarco located?

Benjamin Demarco practices at 1800 Orleans St # 7125, Baltimore, MD 21287. The listed phone number is (410) 502-2533.

What is Benjamin Demarco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Benjamin Demarco enrolled in Medicare?

Yes. Benjamin 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 Benjamin Demarco accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Benjamin 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 Benjamin Demarco affiliated with any hospitals?

According to CMS data, Benjamin Demarco is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Benjamin Demarco was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.