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MARCO A. HINOJOSA M.D.
NPI 1093074270
Hospitalist in San Antonio, TX

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
111 DALLAS ST, SAN ANTONIO, TX 78205(210) 297-7000 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 27, 2025, Apr 8, 2019 (2 updates tracked since 2019).

About Marco A. Hinojosa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCO A. HINOJOSA M.D. (NPI 1093074270) is an individual hospitalist provider in San Antonio, Texas, licensed in Texas (Q4428) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2012).

NPPES Registry Identity

NPI1093074270
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMARCO A. HINOJOSACredential: M.D.
Location Address111 DALLAS STSan Antonio, TX 78205-1201
Mailing Address19500 Ih 10 W Bldg 1San Antonio, TX 78257-9509 · (210) 625-0482 · Fax (877) 479-3805
Phone(210) 297-7000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2012
Enumeration DateMay 9, 2012
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1093074270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · Q4428
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License Q4428 (TX)
111 DALLAS ST, San Antonio, TX 78205
Open in Google Maps ↗

Other Identifiers 2

Other349743004TX · Cshcn
Medicaid349743003TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marco A. Hinojosa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264743111
PECOS Enrollment IDI20150618000469
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Marco Hinojosa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Inpatient Physicians Of Texas I, Inc
0.1 mi
Hospitalist
111 DALLAS ST
San Antonio, TX 78205
  • Reassigned Medicare billing, Texas enrollment
  • 478 clinicians in this Medicare group
NPI 1811321797 (210) 297-7000
Wellmed Networks, Inc.
6.9 mi
Cardiovascular Disease
7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
NPI 1386948677 (210) 588-0122
University Of Texas Health Science Center At San Antonio
7.1 mi
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000
Hospitalist Medicine Physicians Of Texas, PLLC
197 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%201 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN JOSEPH REITANO M.D.
Radiology (Diagnostic Radiology)
111 DALLAS ST
SAN ANTONIO, TX 78205
Bexar County (210) 297-7780
DR. LENOY GALVEZ MD
Psychiatry & Neurology (Psychiatry)
111 DALLAS ST
SAN ANTONIO, TX 78205
Bexar County (210) 297-7000
DR. KIMBERLY A. MALLERY M.D.
Internal Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Bexar County (210) 297-6500
MANJUSHA GUNUGANTI
Physical Medicine & Rehabilitation
111 DALLAS ST
SAN ANTONIO, TX 78205
Bexar County (210) 618-6623
MS. BRIANA ROCHELLE GARZA OTR
Occupational Therapist
111 DALLAS ST
SAN ANTONIO, TX 78205
Bexar County (210) 297-8195
MRS. MARY ANN APOPOT ANP
Nurse Practitioner (Family)
111 DALLAS ST
SAN ANTONIO, TX 78205
Bexar County (210) 297-7011
BRANDON BAROFF DO
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Bexar County (210) 297-7000
SELECT SPECIALTY HOSPITAL - SAN ANTONIO INC
Long Term Care Hospital
111 DALLAS ST, 4TH FL
SAN ANTONIO, TX 78205
Bexar County (210) 297-7188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marco Hinojosa's NPI number?

The NPI number for Marco Hinojosa is 1093074270. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Marco Hinojosa located?

Marco Hinojosa practices at 111 Dallas St, San Antonio, TX 78205. The listed phone number is (210) 297-7000.

What is Marco Hinojosa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Marco Hinojosa enrolled in Medicare?

Yes. Marco Hinojosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marco Hinojosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Hinojosa reassigns Medicare benefits to 4 organizations: Sound Inpatient Physicians Of Texas I, Inc (San Antonio, TX), Wellmed Networks, Inc. (San Antonio, TX), University Of Texas Health Science Center At San Antonio (San Antonio, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marco Hinojosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Hinojosa accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Marco Hinojosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marco Hinojosa affiliated with any hospitals?

According to CMS data, Marco Hinojosa is affiliated with Baptist Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Marco Hinojosa was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.