RAUL MARQUEZ (M.D.) – Pulmonary Disease Physician, NPI 1215914536
Pulmonary Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,780 PULMONARY DISEASE in CA
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Provider Addresses for RAUL MARQUEZ (M.D.)
Crown Valley Parkway, Mission Viejo, Orange County, California, 92629, United States
MISSION VIEJO, CA 926916384
Phone:
Type: Mailing
26800, Crown Valley Parkway, Mission Viejo, Orange County, California, 92691, United States
SUITE 205
MISSION VIEJO, CA 92691
Phone: (949) 364-3330
Fax: (949) 364-2886
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $565.
Total Amount is formed as General ($565) + Research ($0) + Ownership ($0) = $565.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($274).
Total Amount
$565
General + Research + Ownership
Payments
24
Total payment records
General Amount
$565
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-11-16
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 |
|---|---|---|---|---|
| I20091116000628 | I | Pulmonary Disease | CA | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 467 | 189 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 300 | 147 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 297 | 131 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 163 | 52 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 69 | 62 | $0 |
Insurance plans in this area (ZIP 92691)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | CA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 18 | 18 |
| PULMONARY DISEASE | CA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 56 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | WA | |
| - | ME | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA |
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