JORGE MARQUEZ DE LEON MD
NPI 1184671869
Psychiatry & Neurology - Neurology in West Bend, WI

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
1100 GATEWAY CT, WEST BEND, WI 53095(262) 335-8600 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jorge Marquez De Leon Md NPPES

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

JORGE MARQUEZ DE LEON MD (NPI 1184671869) is an individual neurology provider in West Bend, Wisconsin, licensed in Wisconsin (47555) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1184671869
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJORGE MARQUEZ DE LEONCredential: MD
Location Address1100 GATEWAY CTWest Bend, WI 53095-8539
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 28, 2006
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
NPI 1184671869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in WI · 47555 Licensed in MN · 48487
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1100 GATEWAY CT, West Bend, WI 53095

Secondary Practice Location 1

Location 11640 E Sumner StHartford, WI 53027-2684 · Phone (262) 670-4000

Other Identifiers 1

Medicaid1184671869WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jorge Marquez De Leon 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 ID5395756605
PECOS Enrollment IDI20110922000449
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.

Areas of Expertise CMS Part B claims 15

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
8,900 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services118 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
125 services93 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
108 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services96 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
52 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Nurse Practitioner
1100 GATEWAY CT
WEST BEND, WI 53095
Physical Therapist
1100 GATEWAY CT
WEST BEND, WI 53095
Physical Therapist
1100 GATEWAY CT
WEST BEND, WI 53095
Nurse Practitioner
1100 GATEWAY CT
WEST BEND, WI 53095
Specialist/Technologist (Athletic Trainer)
1100 GATEWAY CT
WEST BEND, WI 53095
Specialist/Technologist (Athletic Trainer)
1100 GATEWAY CT
WEST BEND, WI 53095
Family Medicine
1100 GATEWAY CT
WEST BEND, WI 53095
Obstetrics & Gynecology
1100 GATEWAY CT
WEST BEND, WI 53095

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 Jorge Marquez De Leon's NPI number?

The NPI number for Jorge Marquez De Leon is 1184671869. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Jorge Marquez De Leon located?

Jorge Marquez De Leon practices at 1100 Gateway Ct, West Bend, WI 53095. The listed phone number is (262) 335-8600.

What is Jorge Marquez De Leon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jorge Marquez De Leon enrolled in Medicare?

Yes. Jorge Marquez De Leon 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.

What insurance does Jorge Marquez De Leon accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Jorge Marquez De Leon 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 Jorge Marquez De Leon affiliated with any hospitals?

According to CMS data, Jorge Marquez De Leon is affiliated with Aurora Health Care Central Inc, Aurora Medical Ctr Washington County, Aurora St Lukes Medical Center, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Jorge Marquez De Leon was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.