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DAVID JOHN DEMARCO M.D.
NPI 1841253515
Family Medicine in Cincinnati, OH

Active since April 11, 2006Opted out of Medicare · through Aug 19, 2027
6480 HARRISON AVENUE, SUITE #302, CINCINNATI, OH 45247(513) 389-1400(513) 922-3444 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David John Demarco M.d. NPPES

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

DAVID JOHN DEMARCO M.D. (NPI 1841253515) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35085936) and active in the NPI registry since April 2006. He has opted out of Medicare through August 19, 2027 and remains eligible to order and refer, is affiliated with Good Samaritan Hospital, and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1841253515
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID JOHN DEMARCOCredential: M.D.
Location Address6480 HARRISON AVENUE, SUITE #302Cincinnati, OH 45247
Mailing AddressP.o. Box 706152Cincinnati, OH 45270-6152 · (513) 619-5014 · Fax (513) 619-8713
Phone(513) 389-1400
Fax(513) 922-3444
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateApril 11, 2006
Last NPPES UpdateJanuary 12, 2011
✔ NPI 1841253515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35085936
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.
6480 HARRISON AVENUE, Cincinnati, OH 45247
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedDE4163762OH
Medicare UPINI34676OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David John Demarco M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2025 through August 19, 2027.

Opt-Out Effective DateAugust 19, 2025
Opt-Out In Effect ThroughAugust 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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.
501 services239 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
203 services152 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.
140 services140 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.
47 services47 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.
47 services47 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
34 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45247 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers26 claims43 services$4.75 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.44 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,664 services$1.00 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.02 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 5

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

MR. JOEL DAVID BELLA MPT
Physical Therapist
6480 HARRISON AVENUE, SUITE 202
CINCINNATI, OH 45247
Hamilton County (513) 354-7777
MR. TIM M ELSER P.T.
Physical Therapist
6480 HARRISON AVENUE, SUITE 202
CINCINNATI, OH 45247
Hamilton County (513) 354-7777
MR. JON A HOLZBACHER P.T.
Physical Therapist
6480 HARRISON AVENUE, SUITE 202
CINCINNATI, OH 45247
Hamilton County (513) 354-3700
DR. MARTIN LOUIS MCTIGHE M.D.
Orthopaedic Surgery
6480 HARRISON AVENUE, SUITE 100
CINCINNATI, OH 45247
Hamilton County (513) 354-3700
DR. JAIDEEP CHUNDURI M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6480 HARRISON AVENUE, SUITE 201
CINCINNATI, OH 45247
Hamilton County (513) 354-3700

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 David Demarco's NPI number?

The NPI number for David Demarco is 1841253515. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is David Demarco located?

David Demarco practices at 6480 Harrison Avenue Suite #302, Cincinnati, OH 45247. The listed phone number is (513) 389-1400.

What is David Demarco's specialty?

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

Is David Demarco enrolled in Medicare?

No. David Demarco has opted out of Medicare through August 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Demarco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list David 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 David Demarco affiliated with any hospitals?

According to CMS data, David Demarco is affiliated with Good Samaritan Hospital, Christ Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for David Demarco was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.