MINA MARIE DEMARCO (D.O.) – Family Medicine Physician, NPI 1013203546
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
152 SPORTS MEDICINE in WI
Provider Addresses for MINA MARIE DEMARCO (D.O.)
3003 W GOOD HOPE RD
MILWAUKEE, WI 532092042
Phone: (414) 352-3100
Type: Mailing
10322 BRISTOW CENTER DR
BRISTOW, VA 201362201
Phone: (571) 284-4230
Type: Location
3003 W Good Hope Rd
Milwaukee, WI 532092042
Phone: (414) 352-3100
Type: Location
8640 Sudley Rd Ste 203
Manassas, VA 201104404
Phone: (703) 368-3161
Fax: (703) 368-2498
Type: Location
PO BOX 60447
CHARLOTTE, NC 282600447
Phone:
Type: Mailing
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: 2021-05-06
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 |
|---|---|---|---|---|
| I20210506000194 | I | Sports Medicine | VA | 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 | 153 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 74 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $0 |
| 71046 | X-ray of chest, 2 views | 21 | 20 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 53209)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | WI | 20610 | Aspiration and/or injection of large joint or joint capsule | 24 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| A N E S T H E S I O L O G Y | FL | |
| - | NC | |
| P S Y C H I A T R Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | VA | |
| Hospitalist, Nephrology, Nephrology, Internal Medicine | MD |
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