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DR. RAFAEL JORGE MARRERO MD
NPI 1437152329
Otolaryngology in Conway, AR

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
2200 ADA AVE, SUITE 202, CONWAY, AR 72034(501) 327-3929(501) 329-3816 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Rafael Jorge Marrero Md NPPES

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

DR. RAFAEL JORGE MARRERO MD (NPI 1437152329) is an individual otolaryngology provider in Conway, Arkansas, licensed in Arkansas (E-1292) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Sidney Regional Medical Center, and is a graduate of Baylor College Of Medicine (1991).

NPPES Registry Identity

NPI1437152329
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RAFAEL JORGE MARREROCredential: MD
Location Address2200 ADA AVE, SUITE 202Conway, AR 72034
Mailing Address2200 Ada Ave, Suite 202Conway, AR 72034 · (501) 327-3929 · Fax (501) 329-3816
Phone(501) 327-3929
Fax(501) 329-3816
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1991
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 21, 2009
✔ NPI 1437152329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in AR · E-1292✔ Licensed in TX · J2960
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2200 ADA AVE, Conway, AR 72034
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Other Names 1

Other Name (5)Dr. Ralph J Marrero Md

Other Identifiers 1

Medicare UPING65941TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Sunflower Health Plan and more.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

Dr. Rafael Jorge Marrero 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 ID7315093770
PECOS Enrollment IDI20090926000082, I20241001001816
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 Rafael Marrero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Arkansas Ear Nose & Throat Clinic
0.1 mi
Otolaryngology
2200 ADA AVE, STE 202
Conway, AR 72034
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
NPI 1093772436 (501) 327-3929
Cheyenne County Hospital Association, Inc.
707 mi
Clinic/Center
610 GLOVER RD STE 3
Sidney, NE 69162
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1487736963 (Nebraska)
  • 70 clinicians in this Medicare group
NPI 1538858238 (308) 254-5825

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 7

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.

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.
165 services165 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
92 services76 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
67 services67 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.
67 services54 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
56 services49 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
45 services43 patients

Hospital Affiliations CMS Care Compare

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

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72034 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$24.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers30 claims30 services$59.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers29 claims83 services$24.29 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers44 claims255 services$16.92 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers27 claims159 services$12.62 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers66 claims66 services$47.18 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 10

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

CENTRAL ARKANSAS EAR NOSE & THROAT CLINIC
Otolaryngology
2200 ADA AVE, STE 202
CONWAY, AR 72034
Faulkner County (501) 327-3929
MR. SAMUEL CARY KELSO AUD
Audiologist-Hearing Aid Fitter
2200 ADA AVE, SUITE 202
CONWAY, AR 72034
Faulkner County (501) 327-3929
CONWAY EMERGENCY PHYSICIANS, P.A.
General Practice
2200 ADA AVE
CONWAY, AR 72034
Faulkner County (501) 513-5444
FRANK MARTIN MOIX JR. MD
Internal Medicine (Gastroenterology)
2200 ADA AVE, SUITE 201
CONWAY, AR 72034
Faulkner County (501) 932-0282
CONWAY REGIONAL SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
2200 ADA AVE, SUITE 100
CONWAY, AR 72034
Faulkner County (501) 730-0754
SCHLUTERMAN NEUROLOGY, INC.
Neuromusculoskeletal Medicine & OMM
2200 ADA AVE
CONWAY, AR 72034
Faulkner County (501) 932-0352
DR. COLLIE BLEVINS SHAW M.D.
Otolaryngology
2200 ADA AVE, SUITE 202
CONWAY, AR 72034
Faulkner County (501) 327-3929
CASEY LEIGH BROCK APN
Nurse Practitioner (Adult Health)
2200 ADA AVE, STE 203
CONWAY, AR 72034
Faulkner County (501) 205-8389

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 Rafael Marrero's NPI number?

The NPI number for Rafael Marrero is 1437152329. It was assigned to this individual provider in the NPPES registry on May 24, 2005. The provider is also known as Dr. Ralph J Marrero MD.

Where is Rafael Marrero located?

Rafael Marrero practices at 2200 Ada Ave Suite 202, Conway, AR 72034. The listed phone number is (501) 327-3929.

What is Rafael Marrero's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Rafael Marrero enrolled in Medicare?

Yes. Rafael Marrero 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 Rafael Marrero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Marrero reassigns Medicare benefits to 2 organizations: Central Arkansas Ear Nose & Throat Clinic (Conway, AR) and Cheyenne County Hospital Association, Inc. (Sidney, NE). 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 Rafael Marrero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Marrero accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 8 other insurers list Rafael Marrero 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 Rafael Marrero affiliated with any hospitals?

According to CMS data, Rafael Marrero is affiliated with Sidney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Marrero was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.