MISS MARIELLE DESTEFANO (PA-C) – Physician Assistant, NPI 1104251685
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
Provider Addresses for MISS MARIELLE DESTEFANO (PA-C)
9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE, MD 212364902
Phone: (410) 933-6423
Type: Mailing
4940 EASTERN AVE
BALTIMORE, MD 212242735
Phone: (410) 550-0100
Fax: (410) 550-2899
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-02-24 • Largest payer in this snapshot: Radius Health, Inc. ($73).
Total Amount
$190
General + Research + Ownership
Payments
6
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Radius Health, Inc. | $73 |
| Amgen Inc. | $53 |
| Supreme Orthopedic Systems, LLC | $41 |
| Vericel Corporation | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140319000680 | I | Physician Assistant | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 46 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 33 | 25 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 22 | 18 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 20 | 20 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 20 | 20 | $0 |
Insurance plans in this area (ZIP 21236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MD | |
| Physician Assistant | MD | |
| Orthopedic Surgery | MD | |
| Family Practice, Sports Medicine | OH | |
| Orthopedic Surgery | MD | |
| Orthopedic Surgery | MD | |
| Physician Assistant | MD | |
| Nurse Practitioner | PA | |
| Physician Assistant | MD | |
| Orthopedic Surgery, Sports Medicine | MD |
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