PHILLIP SAMUEL DEMARCO
NPI 1881318830
Nurse Practitioner - Family in Rochester, NY

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: March 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2022, Oct 3, 2022 (2 updates tracked since 2022).

About Phillip Samuel Demarco NPPES

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

PHILLIP SAMUEL DEMARCO (NPI 1881318830) is an individual family provider in Rochester, New York, licensed in New York (350566) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881318830
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePHILLIP SAMUEL DEMARCO
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1203
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2022
Last NPPES UpdateMarch 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2023
✔ NPI 1881318830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 350566
1425 PORTLAND AVE, Rochester, NY 14621

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

Phillip Samuel Demarco 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 ID2264801273
PECOS Enrollment IDI20221214002445
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

3

Medicare enrollment records show Phillip Demarco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
777 CLINTON AVE S
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 101 clinicians in this Medicare group
Internal Medicine
560 WHITE SPRUCE BLVD
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group

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 2

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Phillip Demarco's NPI number?

The NPI number for Phillip Demarco is 1881318830. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Phillip Demarco located?

Phillip Demarco practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Phillip Demarco's specialty?

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

Is Phillip Demarco enrolled in Medicare?

Yes. Phillip 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 Phillip Demarco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Demarco reassigns Medicare benefits to 3 organizations: Rochester General Hospital (Rochester, NY), Strong Medical Group (Rochester, NY) and Lattimore Primary Care Medicine, PLLC (Rochester, NY). 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 Phillip Demarco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Phillip Demarco affiliated with any hospitals?

According to CMS data, Phillip Demarco is affiliated with Rochester General Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Demarco was last updated on March 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.