NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1780630954 MD
Verify on CMS → Paul Demarco, MD
Rheumatology Physician in Wheaton, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
686
Medicare Part D claims · 163 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
77.1/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$233.09
5 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Paul Demarco, MD reported a CMS MIPS final score of 77.1/100 - below the 83.1 national average - and filed 686 Medicare Part D claims in 2023.
- 77.1/100
- MIPS score · -6 vs avg
- 686
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Paul Demarco, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 24th percentile higher than 24% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Paul Demarco, MD sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Demarco, MD writes more Part D claims than 17% of them and scores higher on MIPS quality than 30% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Paul Demarco, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Demarco, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Paul Demarco, MD?
Below national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
686 67% vs specialty avg
MIPS final score
77.1/100 6 pts vs avg
Specialty distribution in Maryland
How Rheumatology Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Paul Demarco, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 77.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 77.1/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Paul Demarco, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 2730 UNIVERSITY BLVD W STE 310, Wheaton, MD, 20902, with a listed phone of (301) 942-7600. NPI 1780630954 was issued on 05/26/2006.
Medicare Part D records for calendar year 2023 show 686 prescription claims written by this provider, covering 163 Medicare beneficiaries and totaling roughly $292K in drug spend, with an opioid prescribing rate of 5.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.1/100 for the 2023 performance year, compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,200 enrolled providers across 52 states and an average of 2,054 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1780630954 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/26/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.1231
Final Score
Avg: 83.1
23.7437
Cost
100
Promoting Interoperability
Reporting: Group practice
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Paul Demarco, MD. Source: openpaymentsdata.cms.gov.
Total received
$233
Largest payer
TREACE MEDICAL CONCEPTS, INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
686
Total Claims
$292K
Total Drug Cost
163
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,458
- Total Day Supply
- 42,936
- Generic Drug Cost
- $32K
- Opioid Claims
- 38 (5.5% rate)
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 14, 65-74: 75, 75-84: 51, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Demarco, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Meloxicam
Meloxicam
59 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
53 claims
- Methotrexate
Methotrexate
45 claims
- Topiramate
Topiramate
36 claims
- Celecoxib
Celecoxib
27 claims
- Allopurinol
Allopurinol
26 claims
- Duloxetine Hcl
Duloxetine Hcl
24 claims
- Tramadol Hcl 23
Tramadol Hcl
23 claims
| Drug | Claims |
|---|---|
| Meloxicam | 59 |
| Hydroxychloroquine Sulfate | 53 |
| Methotrexate Methotrexate Sodium | 45 |
| Topiramate | 36 |
| Celecoxib | 27 |
| Allopurinol | 26 |
| Duloxetine Hcl | 24 |
| Tramadol Hcl | 23 |
| Alendronate Sodium | 19 |
| Vitamin D2 Ergocalciferol (Vitamin D2) | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Paul Demarco, MD fits within the Rheumatology Physician landscape nationally.
6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Paul Demarco, MD's 686 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Demarco.
Dr. Jonathan Adelson
M.D.
Greenbelt, MD
Dr. Naila Ahmad
MD
Easton, MD
Dr. Grace Ahn
M.D.
Rockville, MD
Dr. Maria Alba-Dauhajre
MD
Silver Spring, MD
Dr. Jemima Felicity Albayda
MD
Baltimore, MD
Compare Rheumatology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Paul Demarco, MD's specialty? ▼
Paul Demarco, MD specializes in Rheumatology Physician and practices in Wheaton, Maryland. Credentials: MD.
How much does Paul Demarco, MD prescribe under Medicare Part D? ▼
In 2023, Paul Demarco, MD wrote 686 Medicare Part D claims totaling $292K in drug costs for 163 beneficiaries.
What is Paul Demarco, MD's Medicare quality score? ▼
Paul Demarco, MD has a CMS MIPS Final Score of 77.1/100, Cost: 23.7. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Demarco, MD located? ▼
Paul Demarco, MD is located at 2730 UNIVERSITY BLVD W STE 310, Wheaton, MD, 20902. Phone: (301) 942-7600.
What is Paul Demarco, MD's NPI number? ▼
Paul Demarco, MD's National Provider Identifier (NPI) is 1780630954, issued on 05/26/2006.
Does Paul Demarco, MD prescribe opioids? ▼
Yes, Paul Demarco, MD had 38 opioid claims in 2023 with an opioid prescribing rate of 5.5%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Paul Demarco, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Demarco, MD's most frequently prescribed drugs include Meloxicam, Hydroxychloroquine Sulfate, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Demarco, MD accept Medicare? ▼
Paul Demarco, MD appears in CMS Medicare data with 686 Part D claims and 163 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Demarco, MD's credentials? ▼
Paul Demarco, MD's NPI is 1780630954 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.