DR. CARMEN E DEMARCO MD
NPI 1790808616
Internal Medicine - Infectious Disease in Royal Oak, MI

Active since April 07, 2007PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3535 W 13 MILE RD STE 605, ROYAL OAK, MI 48073(248) 551-0495(248) 551-7268 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2021, Jun 16, 2021, Oct 21, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Carmen E Demarco Md NPPES

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

DR. CARMEN E DEMARCO MD (NPI 1790808616) is an individual infectious disease provider in Royal Oak, Michigan, licensed in Michigan (4301074802) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1790808616
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. CARMEN E DEMARCOCredential: MD
Location Address3535 W 13 MILE RD STE 605Royal Oak, MI 48073-6770
Mailing Address3535 W 13 Mile Rd Ste 605Royal Oak, MI 48073-6770 · (248) 551-0495 · Fax (248) 551-7268
Fax(248) 551-7268
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 7, 2007
Last NPPES UpdateJune 21, 20214 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
NPI 1790808616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in MI · 4301074802
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3535 W 13 MILE RD STE 605, Royal Oak, MI 48073

Accepted 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. Carmen E 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 ID3072601996
PECOS Enrollment IDI20071109000605
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 5

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 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.
75 services35 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.
39 services39 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.
20 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.
16 services16 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims520 services$35.87 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
1 supplier13 claims13 services$309.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Allergy & Immunology
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073

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 Carmen Demarco's NPI number?

The NPI number for Carmen Demarco is 1790808616. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Carmen Demarco located?

Carmen Demarco practices at 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073. The listed phone number is (248) 551-0495.

What is Carmen Demarco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Carmen Demarco enrolled in Medicare?

Yes. Carmen 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 Carmen Demarco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Carmen 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 Carmen Demarco affiliated with any hospitals?

According to CMS data, Carmen Demarco is affiliated with Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Carmen Demarco was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.