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STEFANIE JANINE MARCO MD
NPI 1144713736
Internal Medicine in Wichita Falls, TX

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
1631 11TH STREET, UNIT B, WICHITA FALLS, TX 76301(940) 263-3000(940) 263-3018 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 15, 2023, Jan 4, 2023 (2 updates tracked since 2023).

About Stefanie Janine Marco Md NPPES

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

STEFANIE JANINE MARCO MD (NPI 1144713736) is an individual internal medicine provider in Wichita Falls, Texas, licensed in Texas (U1329) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1144713736
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSTEFANIE JANINE MARCOCredential: MD
Location Address1631 11TH STREET, UNIT BWichita Falls, TX 76301-7630
Mailing Address4200 South Fwy Ste 1990Fort Worth, TX 76115-1415 · (682) 990-6491 · Fax (877) 675-3246
Phone(940) 263-3000
Fax(940) 263-3018
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
✔ NPI 1144713736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · U1329
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1631 11TH STREET, Wichita Falls, TX 76301
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Other Names 1

Former Name (1)Stefanie Janine Herrera Md

Secondary Practice Location 1

Location 14200 South Fwy Ste 1990Fort Worth, TX 76115-1415 · Phone (682) 990-6491 · Fax (877) 675-3246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Stefanie Janine Marco Md 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 ID7214274257
PECOS Enrollment IDI20230426002857
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

2

Medicare enrollment records show Stefanie Marco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

La Magna Health PLLC
Same address
Hospitalist
1631 11TH ST UNIT B
Wichita Falls, TX 76301
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
NPI 1699285346 (940) 687-5000
Suvida Healthcare Npho
254 mi
Clinic/Center
211 E 7TH ST STE 700
Austin, TX 78701
  • Reassigned Medicare billing, Texas enrollment
  • 63 clinicians in this Medicare group
NPI 1033842414 (346) 639-3438

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 5

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 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.
231 services105 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.
68 services67 patients
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.
33 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Graham Regional Medical Center

Critical Access Hospitals · Graham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number671300
Location1301 Montgomery RoadGraham, TX 76450 · Young County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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.

Other Providers at the Same Location NPPES 19

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

JASON ABRAHAM
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
CRISTINA BEATRICE
Family Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
WILLIAM HARRISON SCHMAUS DO
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
ANIRUDH TADAKAMALLA
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
SUNIL KONGARA M.D.
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
IKECHUKWU RONALD OGBU MD
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
BANYAR AUNG MD
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000
CHO CHO TUN MD
Internal Medicine
1631 11TH STREET, UNIT B
WICHITA FALLS, TX 76301
Wichita County (940) 263-3000

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 Stefanie Marco's NPI number?

The NPI number for Stefanie Marco is 1144713736. It was assigned to this individual provider in the NPPES registry on June 8, 2018. The provider is also known as Stefanie Janine Herrera MD.

Where is Stefanie Marco located?

Stefanie Marco practices at 1631 11th Street Unit B, Wichita Falls, TX 76301. The listed phone number is (940) 263-3000.

What is Stefanie Marco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stefanie Marco enrolled in Medicare?

Yes. Stefanie Marco 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 Stefanie Marco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Marco reassigns Medicare benefits to 2 organizations: La Magna Health PLLC (Wichita Falls, TX) and Suvida Healthcare Npho (Austin, 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 Stefanie Marco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefanie Marco accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Stefanie Marco 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 Stefanie Marco affiliated with any hospitals?

According to CMS data, Stefanie Marco is affiliated with United Regional Health Care System and Graham Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stefanie Marco was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.