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EDUARDO J DEMARCHENA MD
NPI 1801824339
Internal Medicine - Interventional Cardiology in Miami, FL

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1295 NW 14TH ST, BOX 016960 M851, MIAMI, FL 33125(305) 243-5535(305) 243-8470 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eduardo J Demarchena Md NPPES

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

EDUARDO J DEMARCHENA MD (NPI 1801824339) is an individual interventional cardiology provider in Miami, Florida, licensed in Florida (ME39157) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1980).

NPPES Registry Identity

NPI1801824339
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameEDUARDO J DEMARCHENACredential: MD
Location Address1295 NW 14TH ST, BOX 016960 M851Miami, FL 33125-1610
Mailing Address1400 Nw 10th Ave, Dominion Tower Room 206a (m-815)Miami, FL 33136-1000 · (305) 243-5535 · Fax (305) 243-2138
Phone(305) 243-5535
Fax(305) 243-8470
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1980
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1801824339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in FL · ME39157
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME39157 (FL)
1295 NW 14TH ST, Miami, FL 33125
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Other Identifiers 3

Medicare UPIND21532FL
Medicaid0434914-02FL
Medicare UPIN34056FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Eduardo J Demarchena 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 ID8820284870
PECOS Enrollment IDI20101202000251
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 6

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 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.
169 services135 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.
44 services41 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.
34 services34 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
27 services27 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
15 services15 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 20

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

DR. EDMI YADELIS CORTES TORRES M.D.
Psychiatry & Neurology (Psychiatry)
1295 NW 14TH ST, 2ND FLOOR, SUITE E
MIAMI, FL 33125
Miami-Dade County (305) 689-1352
DR. ROLANDO CESAR MENDIZABAL M.D.
Internal Medicine (Cardiovascular Disease)
1295 NW 14TH ST, SUITE I
MIAMI, FL 33125
Miami-Dade County (305) 325-4541
JEFFREY GOLDBERGER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1295 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (305) 243-5565
GYNECOLOGIC ONCOLOGY ASSOCIATES INC
Obstetrics & Gynecology
1295 NW 14TH ST, SUITE H
MIAMI, FL 33125
Miami-Dade County (305) 324-7300
UNIVERSITY OF MIAMI
Internal Medicine (Clinical Cardiac Electrophysiology)
1295 NW 14TH ST, SUITE A
MIAMI, FL 33125
Miami-Dade County (305) 243-5554
BRIAN WILLIAM MORRISON M.D.
Dermatology
1295 NW 14TH ST, UNIVERSITY OF MIAMI HOSPITAL SOUTH BLG, SUITES K-M
MIAMI, FL 33125
Miami-Dade County (305) 243-6704
DR. FERNANDA BELLODI SCHMIDT M.D.
Dermatology
1295 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (305) 243-6704
KATHERINE ALLEN
Student in an Organized Health Care Education/Training Program
1295 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (206) 372-5427

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 Eduardo Demarchena's NPI number?

The NPI number for Eduardo Demarchena is 1801824339. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Eduardo Demarchena located?

Eduardo Demarchena practices at 1295 NW 14th St Box 016960 M851, Miami, FL 33125. The listed phone number is (305) 243-5535.

What is Eduardo Demarchena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Eduardo Demarchena enrolled in Medicare?

Yes. Eduardo Demarchena 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 Eduardo Demarchena accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Eduardo Demarchena 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 Eduardo Demarchena was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.