SUSAN ELIZABETH DEMARCO NP
NPI 1407215932
Nurse Practitioner - Adult Health in Buffalo, NY

Active since February 11, 2016PECOS EnrolledAccepts Medicare Assignment
94.31/100
CMS Quality Rating
875 ELLICOTT ST, BUFFALO, NY 14203(716) 748-2271 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Elizabeth Demarco Np NPPES

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

SUSAN ELIZABETH DEMARCO NP (NPI 1407215932) is an individual adult health provider in Buffalo, New York, licensed in New York (307628) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407215932
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN ELIZABETH DEMARCOCredential: NP
Location Address875 ELLICOTT STBuffalo, NY 14203-1070
Mailing Address5161 Berg RdBuffalo, NY 14218-3766 · (716) 465-2640
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 11, 2016
NPI 1407215932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 307628
875 ELLICOTT ST, Buffalo, NY 14203

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

Susan Elizabeth Demarco Np 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 ID6608148333
PECOS Enrollment IDI20180319002341
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 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.

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.
88 services73 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.
38 services38 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.
12 services12 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

94.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost68.86

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
875 ELLICOTT ST, SUITE 7030
BUFFALO, NY 14203
Internal Medicine (Gastroenterology)
875 ELLICOTT ST, SUITE 6090
BUFFALO, NY 14203
Nurse Practitioner (Adult Health)
875 ELLICOTT ST
BUFFALO, NY 14203
Physician Assistant
875 ELLICOTT ST
BUFFALO, NY 14203
Internal Medicine (Cardiovascular Disease)
875 ELLICOTT ST
BUFFALO, NY 14203
Clinical Medical Laboratory
875 ELLICOTT ST, SUITE 5080
BUFFALO, NY 14203
Nurse Practitioner (Family)
875 ELLICOTT ST
BUFFALO, NY 14203
Pharmacist
875 ELLICOTT ST
BUFFALO, NY 14203

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 Susan Demarco's NPI number?

The NPI number for Susan Demarco is 1407215932. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Where is Susan Demarco located?

Susan Demarco practices at 875 Ellicott St, Buffalo, NY 14203. The listed phone number is (716) 748-2271.

What is Susan Demarco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Demarco enrolled in Medicare?

Yes. Susan 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 Susan Demarco affiliated with any hospitals?

According to CMS data, Susan Demarco is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Susan Demarco was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.