Doctor profile · Federal record

Dr. Marielle Destefano, PA-C

Physician Assistant · Baltimore, MD

  • NPI 1104251685
  • Accepts Medicare
  • 13 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4940 Eastern Ave
Baltimore, MD 212242735
(410) 550-0100
fax (410) 550-2899
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 212364902

Credentials & registration

NPPES · NUCC
NPI registered
September 2013 — 13 yrs on file
Profile last updated
May 9, 2019
Year of graduation
2013 — 13 yrs since
Specialty taxonomy
363A00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104251685. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
202
Distinct HCPCS
9
Medicare allowed
$21,934
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 58 46 $81
73630 X-ray of foot, minimum of 3 views 33 25 $32
73610 X-ray of ankle, minimum of 3 views 22 18 $30
27130 Replacement of thigh bone and hip joint with prosthesis 20 20 $188
27447 Replacement of knee joint, both sides of knee 20 20 $188
99203 New patient office or other outpatient visit, 30-44 minutes 14 14 $101
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 13 13 $176
23472 Prosthetic repair of shoulder joint, total shoulder 11 11 $211
27245 Treatment of broken neck of thigh bone with bone implant 11 11 $181

In context: peer comparison

Among 215 peers in Baltimore Physician Assistant, average services per provider: 82. This provider delivers 2.5× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$105
Transactions
3
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Supreme Orthopedic Systems, LLC 1 $41.44
Radius Health, INC. 1 $35.91
Amgen INC. 1 $28.01

By nature of payment

Food and Beverage
$105

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
99
Patients
96
Total drug cost
$659
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 36 36 $226
Cefadroxil Generic 24 22 $223
Gabapentin Generic 15 14 $84
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 12 12 $69
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 12 12 $58

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Marielle Destefano's medical specialty?
Dr. Marielle Destefano practices Physician Assistant in Baltimore, MD.
Where does Dr. Marielle Destefano practice?
Dr. Marielle Destefano practices at 4940 Eastern Ave, Baltimore, MD 212242735. Office phone: 4105500100.
What is Dr. Marielle Destefano's NPI?
Dr. Marielle Destefano's National Provider Identifier (NPI) is 1104251685, issued by NPPES.
Does Dr. Marielle Destefano accept Medicare assignment?
Yes. Dr. Marielle Destefano accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Marielle Destefano commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); X-ray of foot, minimum of 3 views (HCPCS 73630); X-ray of ankle, minimum of 3 views (HCPCS 73610). Source: CMS Medicare Physician & Other Practitioners file.