RAUL A MARQUEZ (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1164434320
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,189 ORTHOPEDIC SURGERY in TX
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Provider Addresses for RAUL A MARQUEZ (MD)
Cornerstone Boulevard, Borderland Retreat Colonia, Edinburg, Hidalgo County, Texas, 78504, United States
EDINBURG, TX 785398462
Phone: (956) 668-0060
Fax: (956) 668-0070
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $14,275.
Total Amount is formed as General ($14,275) + Research ($0) + Ownership ($0) = $14,275.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($7,875).
Total Amount
$14,275
General + Research + Ownership
Payments
36
Total payment records
General Amount
$14,275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $7,875 |
| EXACTECH, INC. | $1,871 |
| Smith+Nephew, Inc. | $1,593 |
| Medinc of Texas | $1,051 |
| ORTHO DEVELOPMENT CORPORATION | $643 |
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: 2010-05-03
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 |
|---|---|---|---|---|
| I20100503000387 | I | Orthopedic Surgery | TX | 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 |
|---|---|---|---|---|
| 73564 | X-ray of knee, 4 or more views | 79 | 60 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 60 | 49 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 54 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 40 | $0 |
Insurance plans in this area (ZIP 78539)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Physician Assistant | TX | |
| N E U R O S U R G E R Y | OH | |
| Orthopedic Surgery | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | PA | |
| Physician Assistant | TX |
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