DR. WESLEY C MARSHALL MD
NPI 1194702126
Family Medicine in Hillsboro, TX

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
1323 E FRANKLIN ST, SUITE 105, HILLSBORO, TX 76645(254) 582-7481(254) 580-1584 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Wesley C Marshall Md NPPES

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

DR. WESLEY C MARSHALL MD (NPI 1194702126) is an individual family medicine provider in Hillsboro, Texas, licensed in Texas (M1908) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2004).

NPPES Registry Identity

NPI1194702126
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WESLEY C MARSHALLCredential: MD
Location Address1323 E FRANKLIN ST, SUITE 105Hillsboro, TX 76645-2621
Mailing AddressPo Box 18962Belfast, ME 04915-4084 · (800) 566-5050 · Fax (254) 580-1584
Fax(254) 580-1584
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2004
Enumeration DateDecember 30, 2005
Last NPPES UpdateJanuary 20, 2017
NPI 1194702126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M1908
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1323 E FRANKLIN ST, Hillsboro, TX 76645

Other Identifiers 2

Medicaid179059402TX
Medicare UPIN148627TX

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

Dr. Wesley C Marshall 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 ID4486668696
PECOS Enrollment IDI20060126000739
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services21 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
21 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Hill Regional Hospital

Critical Access Hospitals · Hillsboro, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451395
Location101 Circle DriveHillsboro, TX 76645 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76645 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%40 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
93%137 patients1/55-star benchmark: 100%
Advance Care Plan
38%427 patients2/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
90%135 patients4/55-star benchmark: 100%
Breast Cancer Screening
76%244 patients4/55-star benchmark: 93%
Cervical Cancer Screening
46%395 patients2/55-star benchmark: 98%
Childhood Immunization Status
0%45 patients
Chlamydia Screening for Women
37%146 patients
Closing the Referral Loop: Receipt of Specialist Report
56%337 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
72%565 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
56%482 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
82%28 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
2%227 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
44%207 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%207 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%3,189 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
61%418 patients3/55-star benchmark: 100%
HIV Screening
18%905 patients2/55-star benchmark: 60%
Immunizations for Adolescents
Patients HPV: 23% · 52 patients
Patients meningococcal: 85% · 52 patients
Patients Tdap: 87% · 52 patients
23%52 patients
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
13%61 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%1,093 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
52%1,113 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%1,562 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 993 patients
Patients screened: 92% · 993 patients
56%143 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 30% · 840 patients
Patients screened: 32% · 840 patients
0%22 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
63%199 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%303 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 421 patients
Patients totalRate: 15% · 430 patients
13%430 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers15 claims34 services$6.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$113.28 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Rural Health)
1323 E FRANKLIN ST, SUITE 105
HILLSBORO, TX 76645
Pediatrics
1323 E FRANKLIN ST, SUITE 105
HILLSBORO, TX 76645
Family Medicine
1323 E FRANKLIN ST, SUITE 105
HILLSBORO, TX 76645
Family Medicine
1323 E FRANKLIN ST, SUITE 105
HILLSBORO, TX 76645
Family Medicine
1323 E FRANKLIN ST, SUITE 105
HILLSBORO, TX 76645
Nurse Practitioner (Family)
1323 E FRANKLIN ST, SUITE 105
HILLSBORO, TX 76645
Nurse Practitioner (Family)
1323 E FRANKLIN ST, 105
HILLSBORO, TX 76645
Nurse Practitioner (Family)
1323 E FRANKLIN ST, 105
HILLSBORO, TX 76645

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194702126, enumerated as an "individual" on December 30, 2005.

The provider is located at 1323 E FRANKLIN ST SUITE 105 HILLSBORO, TX 76645 and the phone number is (254) 582-7481.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Wesley Marshall is affiliated with: ASCENSION PROVIDENCE and HILL REGIONAL HOSPITAL.