DR. MARCO MAURO DE SANTIS (D.O.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1104080977
Endocrinology, Diabetes & Metabolism Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARCO MAURO DE SANTIS (D.O.)
1272, West Main Street, Newark, Licking County, Ohio, 43055, United States
SUITE 204
NEWARK, OH 43055
Phone: (220) 564-1740
Fax: (220) 564-1741
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-01-08
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20190626002006 | I | Endocrinology | OH | TBD |
| I20240924004428 | I | Endocrinology | OK | TBD |
| I20241127000205 | I | Endocrinology | AR | TBD |
| I20241127002913 | I | Osteopathic Manipulative Medicine | CA | TBD |
| I20250108002838 | I | Endocrinology | WY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 144 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 103 | 66 | $0 |
| 83036 | Hemoglobin a1c level | 73 | 51 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 57 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $0 |
Insurance plans in this area (ZIP 43055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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