DR. MARC S PIENIEK MD
NPI 1295793677
Internal Medicine - Cardiovascular Disease in Plano, TX

Q: What is Marc Pieniek's NPI number?

The NPI number for Marc Pieniek is 1295793677. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Marc Pieniek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Pieniek was last updated on September 23, 2022. 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.

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment

81.1/100

CMS Quality Rating

3801 W 15TH ST, BLDG B, SUITE 320, PLANO, TX 75075(972) 985-8838(844) 292-1457 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2022, Jan 16, 2020 (2 updates tracked since 2020).

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About Dr. Marc S Pieniek Md NPPES

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

DR. MARC S PIENIEK MD (NPI 1295793677) is an individual cardiovascular disease provider in Plano, Texas, licensed in Texas (K1621) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Emory University School Of Medicine (1990).

NPPES Registry Identity

NPI1295793677

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. MARC S PIENIEKCredential: MD

Location Address3801 W 15TH ST, BLDG B, SUITE 320Plano, TX 75075-4737

Mailing Address16980 Dallas Pkwy, Suite 200Dallas, TX 75248-1908 · (972) 566-5700 · Fax (972) 566-5757

Phone(972) 985-8838

Fax(844) 292-1457

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1990

Enumeration DateMay 3, 2006

Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2022

✔ NPI 1295793677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · K1621

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License K1621 (TX)

3801 W 15TH ST, Plano, TX 75075

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Other Identifiers 2

Medicaid118388104TX

Medicaid118388103TX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc S Pieniek 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 ID3375673932

PECOS Enrollment IDI20101104000271

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 24

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 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.

422 services210 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

278 services225 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.

152 services101 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

100 services98 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.

83 services53 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

80 services20 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

78 services72 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

51 services45 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.

47 services26 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

44 services22 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

35 services35 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

31 services31 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

30 services30 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.

29 services29 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.

28 services28 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.

27 services27 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

26 services26 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

21 services21 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

21 services21 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

21 services21 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

18 services16 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report 93355

This procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670025

Location1100 Allied DrivePlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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.

81.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

70.02

Promoting Interoperability

100

Improvement Activities

Cost

59.27

Reported Quality Measures

Advance Care Plan

57%712 patients3/55-star benchmark: 100%

Controlling High Blood Pressure

70%419 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

88%56 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

82%206 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

88%26 patients4/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

95%131 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%1,987 patients4/55-star benchmark: 100%

e-Prescribing

98%596 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%492 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

25%836 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

21%638 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 90% · 519 patients

Patients screened: 93% · 519 patients

35%23 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

94%387 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

90%366 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 517 patients

Patients totalRate: 1% · 517 patients

1%517 patients4/55-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.

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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.

DR. GAUTAM BHIMIDI REDDY M.D.

Internal Medicine (Interventional Cardiology)

3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075

Collin County (972) 985-8838

WEST PLANO OB GYN SPECIALISTS

Obstetrics & Gynecology

3801 W 15TH ST, SUITE 270
PLANO, TX 75075

Collin County (972) 964-5514

FOLASHADE LESTER, M.D. PA

Family Medicine

3801 W 15TH ST, 350-B
PLANO, TX 75075

Collin County (972) 867-9300

BETH VANDERHOFF ANGLIN M.D.

Surgery (Surgical Oncology)

3801 W 15TH ST, BLDG A, SUITE 210
PLANO, TX 75075

Collin County (214) 501-5427

DR. RAJJIT ABROL MD

Internal Medicine (Clinical Cardiac Electrophysiology)

3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075

Collin County (972) 985-8838

TRACY C. WOEHL CRNA, P.C.

Nurse Anesthetist, Certified Registered

3801 W 15TH ST, SUITE 150
PLANO, TX 75075

Collin County (972) 543-2477

DAVID R STAGER SR. M.D.

Ophthalmology

3801 W 15TH ST, A-110
PLANO, TX 75075

Collin County (214) 281-1878

DR. JOHN W DUNCAN MD

Internal Medicine (Cardiovascular Disease)

3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075

Collin County (972) 985-8838

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 Pieniek's NPI number?

The NPI number for Marc Pieniek is 1295793677. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Marc Pieniek located?

Marc Pieniek practices at 3801 W 15th St Bldg B, Suite 320, Plano, TX 75075. The listed phone number is (972) 985-8838.

What is Marc Pieniek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Marc Pieniek enrolled in Medicare?

Yes. Marc Pieniek 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 Marc Pieniek accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Marc Pieniek 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 Marc Pieniek affiliated with any hospitals?

According to CMS data, Marc Pieniek is affiliated with Medical City Plano, Baylor Scott & White Medical Center Plano and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Marc Pieniek was last updated on September 23, 2022. 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.