DR. JAMES J DEMARCO MD
NPI 1619946936
Internal Medicine - Nephrology in Bridgeport, WV

Q: What is James Demarco's NPI number?

The NPI number for James Demarco is 1619946936. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is James Demarco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for James Demarco was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment

55.5/100

CMS Quality Rating

1370 JOHNSON AVE, STE 203, BRIDGEPORT, WV 26330(304) 622-5196(304) 622-2810 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. James J Demarco Md NPPES

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

DR. JAMES J DEMARCO MD (NPI 1619946936) is an individual nephrology provider in Bridgeport, West Virginia, licensed in West Virginia (WV17202) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1619946936

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JAMES J DEMARCOCredential: MD

Location Address1370 JOHNSON AVE, STE 203Bridgeport, WV 26330-1378

Mailing Address1370 Johnson Ave, Ste 203Bridgeport, WV 26330-1378 · (304) 622-5196 · Fax (304) 622-2810

Phone(304) 622-5196

Fax(304) 622-2810

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateMarch 17, 2006

Last NPPES UpdateMay 8, 2017

✔ NPI 1619946936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in WV · WV17202

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1370 JOHNSON AVE, Bridgeport, WV 26330

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Other Identifiers 3

Medicare UPINF48491

Medicare ID-Type UnspecifiedDE0740582WV

Medicaid0075650000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. James J 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 ID840245940

PECOS Enrollment IDI20091202000249

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 12

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

534 services92 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

207 services36 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.

167 services58 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.

154 services105 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

125 services25 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

79 services70 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

48 services26 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.

47 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

38 services25 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services23 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.

15 services15 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Stonewall Jackson Memorial Hospital

Acute Care Hospitals · Weston, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510038

Location230 Hospital PlazaWeston, WV 26452 · Lewis County

Emergency services Birthing friendly

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511308

Location100 Hoylman DriveGassaway, WV 26624 · Braxton County

Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511321

Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

55.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

75.28

Improvement Activities

Cost

57.14

Other Providers at the Same Location NPPES 10

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

MEDBROOK MEDICAL ASSOC. INC.

Clinical Medical Laboratory

1370 JOHNSON AVE
BRIDGEPORT, WV 26330

Harrison County (304) 842-7186

MEDBROOK MEDICAL ASSOCIATES INC

Pharmacy (Community/Retail Pharmacy)

1370 JOHNSON AVE
BRIDGEPORT, WV 26330

Harrison County (304) 842-4233

JUSTIN GOFF PA-C

Physician Assistant

1370 JOHNSON AVE
BRIDGEPORT, WV 26330

Harrison County (304) 842-3330

DR. TIMOTHY M PEASAK D.O.

Emergency Medicine

1370 JOHNSON AVE, 1ST FLOOR
BRIDGEPORT, WV 26330

Harrison County (304) 842-3330

RAETTA LYNN WENTZ PA-C

Physician Assistant (Medical)

1370 JOHNSON AVE
BRIDGEPORT, WV 26330

Harrison County (304) 842-7186

UNITED HOSPITAL CENTER, INC.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1370 JOHNSON AVE, SUITE 201
BRIDGEPORT, WV 26330

Harrison County (681) 342-3730

MISS TAMMY LOU YAZEVAC PA

Physician Assistant

1370 JOHNSON AVE
BRIDGEPORT, WV 26330

Harrison County (304) 842-7186

LANDYN PAIGE BONAMICO

Physician Assistant

1370 JOHNSON AVE
BRIDGEPORT, WV 26330

Harrison County (304) 842-3330

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 James Demarco's NPI number?

The NPI number for James Demarco is 1619946936. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is James Demarco located?

James Demarco practices at 1370 Johnson Ave Ste 203, Bridgeport, WV 26330. The listed phone number is (304) 622-5196.

What is James Demarco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Demarco enrolled in Medicare?

Yes. James 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 James Demarco accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list James 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 James Demarco affiliated with any hospitals?

According to CMS data, James Demarco is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Stonewall Jackson Memorial Hospital, Braxton County Memorial Hospital, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for James Demarco was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.