1. Home
  2. Directory
  3. Texas
  4. Kyle
  5. Internal Medicine
  6. NPI Profile

MARC WENZEL MD
NPI 1265709315
Internal Medicine - Endocrinology, Diabetes & Metabolism in Kyle, TX

Active since November 17, 2011PECOS Enrolled
72.52/100
CMS Quality Rating
5103 KYLE CENTER DR, SUITE 104, KYLE, TX 78640(512) 551-0855(512) 551-0856 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marc Wenzel Md NPPES

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

MARC WENZEL MD (NPI 1265709315) is an individual endocrinology, diabetes & metabolism provider in Kyle, Texas, licensed in Texas (J1426) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1982).

NPPES Registry Identity

NPI1265709315
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMARC WENZELCredential: MD
Location Address5103 KYLE CENTER DR, SUITE 104Kyle, TX 78640-6163
Mailing Address1601 Rio Grande St, Suite 415Austin, TX 78701-1137 · (512) 324-8960 · Fax (512) 324-8962
Phone(512) 551-0855
Fax(512) 551-0856
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1982
Enumeration DateNovember 17, 2011
Last NPPES UpdateOctober 30, 2012
✔ NPI 1265709315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · J1426
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5103 KYLE CENTER DR, Kyle, TX 78640
Open in Google Maps ↗

Other Identifiers 2

Medicare PINTXB143259TX
Medicaid114934604TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Wenzel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092982975
PECOS Enrollment IDI20120117000585
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 Reassignment

Medicare enrollment records show Marc Wenzel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seton Family Of Doctors
0.8 mi
Neurological Surgery
6001 KYLE PKWY
Kyle, TX 78640
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1730412388 (512) 324-8300

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.

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.
228 services202 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
139 services125 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
47%522 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
18%580 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
44%920 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
25%882 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,776 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%6,362 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%691 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%1,650 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,646 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 807 patients
Patients tobacco: 26% · 35 patients
92%807 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%1,650 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
22%1,650 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%1,650 patients
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 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers16 claims200 services$17.49 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers18 claims575 services$2.24 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers104 claims390 services$5.64 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers36 claims59 services$0.84 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,842 services$0.29 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 5

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

TEXAS CARDIAC ARRHYTHMIA PLLC
Internal Medicine (Clinical Cardiac Electrophysiology)
5103 KYLE CENTER DR, SUITE 103
KYLE, TX 78640
Hays County (512) 504-0860
DR. LOTIKA REENA MISRA M.D.
Psychiatry & Neurology (Neurology)
5103 KYLE CENTER DR, SUITE 103
KYLE, TX 78640
Hays County (512) 324-3540
DAYNA GWINUP DIVEN MD
Dermatology
5103 KYLE CENTER DR, SUITE 104
KYLE, TX 78640
Hays County (512) 504-0855
DARRYL CAMP MD, PA
Psychiatry & Neurology (Neurology)
5103 KYLE CENTER DR, SUITE 104
KYLE, TX 78640
Hays County (512) 674-9002
SETON FAMILY OF DOCTORS
Clinic/Center (Radiology)
5103 KYLE CENTER DR, SUITE 108
KYLE, TX 78640
Hays County (877) 324-3310

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 Marc Wenzel's NPI number?

The NPI number for Marc Wenzel is 1265709315. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Marc Wenzel located?

Marc Wenzel practices at 5103 Kyle Center Dr Suite 104, Kyle, TX 78640. The listed phone number is (512) 551-0855.

What is Marc Wenzel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Marc Wenzel enrolled in Medicare?

Yes. Marc Wenzel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marc Wenzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Wenzel reassigns Medicare benefits to Seton Family Of Doctors (Kyle, TX). The 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 Marc Wenzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Wenzel accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Marc Wenzel 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.

When was this NPI record last updated?

The NPPES record for Marc Wenzel was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.