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MATTHEW THOMAS DEMARCO MD
NPI 1538796560
Family Medicine in Charleston, SC

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
2270 ASHLEY CROSSING DR STE 170, CHARLESTON, SC 29414(843) 763-3700(843) 606-8018 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Jul 17, 2023, Sep 15, 2021 and 1 more (4 updates tracked since 2020).

About Matthew Thomas Demarco Md NPPES

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

MATTHEW THOMAS DEMARCO MD (NPI 1538796560) is an individual family medicine provider in Charleston, South Carolina, licensed in South Carolina (89670) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2020).

NPPES Registry Identity

NPI1538796560
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW THOMAS DEMARCOCredential: MD
Location Address2270 ASHLEY CROSSING DR STE 170Charleston, SC 29414-5749
Mailing AddressPo Box 632516Cincinnati, OH 45263-2516 · (888) 472-0043 · Fax (513) 653-4122
Phone(843) 763-3700
Fax(843) 606-8018
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1538796560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 89670
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2270 ASHLEY CROSSING DR STE 170, Charleston, SC 29414
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Other Identifiers 1

Medicaid896702SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Oscar Health Plan of North Carolina, Inc.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

Matthew Thomas 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 ID6901201086
PECOS Enrollment IDI20230728000541
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 Matthew Demarco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roper Saint Francis Physicians Network
Same address
Internal Medicine
2270 ASHLEY CROSSING DR, SUITE 170
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 658 clinicians in this Medicare group
NPI 1306089602 (843) 763-3700

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 9

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.
495 services198 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.
113 services113 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.
81 services81 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.
27 services25 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 6

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

ROPER SAINT FRANCIS PHYSICIANS NETWORK
Psychiatry & Neurology (Addiction Psychiatry)
2270 ASHLEY CROSSING DR STE 170
CHARLESTON, SC 29414
Charleston County (843) 958-2555
JENNIFER L GOLDFARB LISW CP
Social Worker (Clinical)
2270 ASHLEY CROSSING DR STE 170
CHARLESTON, SC 29414
Charleston County (843) 958-2555
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Family Medicine
2270 ASHLEY CROSSING DR STE 170
CHARLESTON, SC 29414
Charleston County (843) 763-3700
ALLISON CLAIRE BOSSONG PA-C
Physician Assistant
2270 ASHLEY CROSSING DR STE 170
CHARLESTON, SC 29414
Charleston County (843) 763-3700
MS. LINDSAY BOZZELLI FRIED FNP
Nurse Practitioner (Family)
2270 ASHLEY CROSSING DR STE 170
CHARLESTON, SC 29414
Charleston County (843) 763-3700
JOHN MATTHEW FERGUSON M.D.
Family Medicine
2270 ASHLEY CROSSING DR STE 170
CHARLESTON, SC 29414
Charleston County (843) 763-3700

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 Matthew Demarco's NPI number?

The NPI number for Matthew Demarco is 1538796560. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Matthew Demarco located?

Matthew Demarco practices at 2270 Ashley Crossing Dr Ste 170, Charleston, SC 29414. The listed phone number is (843) 763-3700.

What is Matthew Demarco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Demarco enrolled in Medicare?

Yes. Matthew 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.

Which organization bills Medicare for Matthew Demarco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Demarco reassigns Medicare benefits to Roper Saint Francis Physicians Network (Charleston, SC). 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 Matthew Demarco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Demarco accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Oscar Health Plan of North Carolina, Inc list Matthew 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 Matthew Demarco affiliated with any hospitals?

According to CMS data, Matthew Demarco is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Matthew Demarco was last updated on May 4, 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.