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MICHAEL ANTHONY DEMARCO III APRN, FNP-C
NPI 1730852310
Nurse Practitioner - Family in Sunbury, OH

Active since July 29, 2021PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating
111 W CHERRY ST, SUNBURY, OH 43074(740) 965-3061 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2026, Mar 3, 2023, Jul 29, 2021 (3 updates tracked since 2021).

About Michael Anthony Demarco Iii Aprn, Fnp-c NPPES

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

MICHAEL ANTHONY DEMARCO III APRN, FNP-C (NPI 1730852310) is an individual family provider in Sunbury, Ohio, licensed in Ohio (APRN.CNP.0029287) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730852310
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL ANTHONY DEMARCO IIICredential: APRN, FNP-C
Location Address111 W CHERRY STSunbury, OH 43074-9342
Mailing Address111 W Cherry StSunbury, OH 43074-9342
Phone(740) 965-3061
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 29, 2021
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1730852310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0029287
111 W CHERRY ST, Sunbury, OH 43074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare) and more.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 Anthony Demarco Iii Aprn, Fnp-c 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 ID9032509617
PECOS Enrollment IDI20211214002636
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 Reassignments

4

Medicare enrollment records show Michael Demarco reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-South Home Care Services, LLC
14 mi
Hospice and Palliative Medicine
1100 BEECHER XING N STE D-1
Columbus, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1881391597 (614) 796-4446
Center For Symptom Relief LLC
16 mi
Interventional Pain Medicine
1161 BETHEL RD STE 203204
Columbus, OH 43220
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
NPI 1710201868 (614) 459-0350
Minuteclinic Diagnostic Of Ohio LLC
22 mi
Family
4961 ROBERTS RD
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 246 clinicians in this Medicare group
NPI 1699747303 (866) 389-2727
Minuteclinic Primary Care Ohio LLC
22 mi
Family
4961 ROBERTS RD
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 172 clinicians in this Medicare group
NPI 1285441766 (866) 389-2727

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.

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.
33 services32 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.
18 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43074 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.38
Improvement Activities40
Cost100

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.

MRS. AMBER C CORY FNP-C
Nurse Practitioner (Family)
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (866) 389-2727
OHIO CVS STORES LLC
Pharmacy
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (614) 965-3061
CHELSEA ANDERSON
Nurse Practitioner (Family)
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (740) 965-3061
ERIN WOODWORTH NP
Nurse Practitioner (Family)
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (740) 965-3061
MORGAN RYANNE ROPP
Student in an Organized Health Care Education/Training Program
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (740) 965-3061
MRS. LAUREN ELIZABETH INDORF CNP, FNP-BC
Nurse Practitioner (Family)
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (740) 965-3061
LAURA KLEIN
Pharmacist
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (740) 965-3061
STEVEN ISIAH WARREN
Pharmacist
111 W CHERRY ST
SUNBURY, OH 43074
Delaware County (740) 525-8197

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 Demarco's NPI number?

The NPI number for Michael Demarco is 1730852310. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Michael Demarco located?

Michael Demarco practices at 111 W Cherry St, Sunbury, OH 43074. The listed phone number is (740) 965-3061.

What is Michael Demarco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Demarco enrolled in Medicare?

Yes. Michael 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 organizations bill Medicare for Michael Demarco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Demarco reassigns Medicare benefits to 4 organizations: Mid-South Home Care Services, LLC (Columbus, OH), Center For Symptom Relief LLC (Columbus, OH), Minuteclinic Diagnostic Of Ohio LLC (Hilliard, OH) and Minuteclinic Primary Care Ohio LLC (Hilliard, OH). Each 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 Demarco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Demarco accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare), MedMutual and Oscar Health Insurance list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Demarco was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.