Individual provider Active NPI

Connie Sue Dimarco, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Springfield, OR
National Provider Identifier
1891712477
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
MD26368 Issued in OR
Practice address
2400 Hartman LN
Springfield, OR 97477-1118
Phone
(541) 334-3350
Fax
(541) 284-5198
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD26368 OR Primary

Addresses

Primary practice location

2400 Hartman LN
Springfield, OR 97477-1118

Mailing address

2400 Hartman LN
Springfield, OR 97477-1118
Phone (541) 334-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000068 OR Practitioner - UrologyPractitioner - Obstetrics/Gynecology 4486660735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oregon Urology Institute PCGroup PAC ID 6608766399, 33 clinicians

Practice addresses (Care Compare)

2400 Hartman LN
Springfield, OR 97477-1118
Phone (541) 334-3350

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Peacehealth Cottage Grove Community Medical Center Hospital, Cottage Grove, OR, CCN 381301
  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
73.02
Promoting interoperability
80
Improvement activities
40
Cost
85.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal of the uterus11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD26368ORMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Urology Institute PC CurrentSince Feb 1, 2006 Accepting new patients

Locations

2400 Hartman Ln
Springfield, OR 97477
Phone (541) 334-3350

2400 Hartman Ln
Ste 200
Springfield, OR 97477
Phone (541) 334-3350

2400 Hartman Ln
Ste 300
Springfield, OR 97477
Phone (541) 343-1603

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1891712477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350",
            "fax_number": "541-284-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350",
            "fax_number": "541-284-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARCO",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OR",
            "license": "MD26368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.