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MICHAEL JOSEPH DE MARCO DPM
NPI 1376683979
Podiatrist - Foot & Ankle Surgery in Tinton Falls, NJ

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
13 BLUEBERRY LN, TINTON FALLS, NJ 07724(732) 922-3313 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Joseph De Marco Dpm NPPES

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

MICHAEL JOSEPH DE MARCO DPM (NPI 1376683979) is an individual foot & ankle surgery provider in Tinton Falls, New Jersey, licensed in New Jersey (MD001764) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and is a graduate of Temple University School Of Podiatric Medicine (1986).

NPPES Registry Identity

NPI1376683979
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMICHAEL JOSEPH DE MARCOCredential: DPM
Location Address13 BLUEBERRY LNTinton Falls, NJ 07724-9731
Mailing Address13 Blueberry LnTinton Falls, NJ 07724-9731 · (732) 922-3313
Phone(732) 922-3313
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1986
Enumeration DateFebruary 6, 2007
Last NPPES UpdateApril 10, 2013
✔ NPI 1376683979 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 · MD001764
13 BLUEBERRY LN, Tinton Falls, NJ 07724
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Other Identifiers 3

Medicare UPINT90790
Medicare ID-Type Unspecified589600Medicare
Medicaid0905208NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Michael Joseph De Marco 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 ID7416034293
PECOS Enrollment IDI20080403000077
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 Michael De Marco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monmouth Family Health Center Inc
6.0 mi
Federally Qualified Health Center (FQHC)
335 BROADWAY
Long Branch, NJ 07740
  • Reassigned Medicare billing, New Jersey enrollment
  • 37 clinicians in this Medicare group
NPI 1962841502 (732) 923-7100

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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
481 services103 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.
115 services45 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.
108 services13 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.
18 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

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 De Marco's NPI number?

The NPI number for Michael De Marco is 1376683979. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Michael De Marco located?

Michael De Marco practices at 13 Blueberry Ln, Tinton Falls, NJ 07724. The listed phone number is (732) 922-3313.

What is Michael De Marco's specialty?

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

Is Michael De Marco enrolled in Medicare?

Yes. Michael De Marco 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 organization bills Medicare for Michael De Marco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael De Marco reassigns Medicare benefits to Monmouth Family Health Center Inc (Long Branch, NJ). The 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 De Marco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael De Marco accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael De Marco 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 De Marco affiliated with any hospitals?

According to CMS data, Michael De Marco is affiliated with Monmouth Medical Center and Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Michael De Marco was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.