DR. WAYNE S MARGOLIS M.D.
NPI 1609871334
Internal Medicine - Interventional Cardiology in Beaumont, TX

Q: What is Wayne Margolis's NPI number?

The NPI number for Wayne Margolis is 1609871334. It was assigned to this individual provider in the NPPES registry on June 17, 2005. The provider is also known as Dr. Wayne S Margolis M.D..

Q: What is Wayne Margolis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Margolis was last updated on December 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

740 HOSPITAL DR, SUITE 260, BEAUMONT, TX 77701(409) 835-4003(409) 835-7005 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Wayne S Margolis M.d. NPPES

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

DR. WAYNE S MARGOLIS M.D. (NPI 1609871334) is an individual interventional cardiology provider in Beaumont, Texas, licensed in Texas (F 9775) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Rush Medical College Of Rush University (1980).

NPPES Registry Identity

NPI1609871334

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. WAYNE S MARGOLISCredential: M.D.

Location Address740 HOSPITAL DR, SUITE 260Beaumont, TX 77701-4664

Mailing Address740 Hospital Dr, Suite 260Beaumont, TX 77701-4664 · (409) 835-4003 · Fax (409) 835-7005

Phone(409) 835-4003

Fax(409) 835-7005

Sole ProprietorYes

Medical School CMSRush Medical College Of Rush UniversityGraduated 1980

Enumeration DateJune 17, 2005

Last NPPES UpdateDecember 30, 2011

✔ NPI 1609871334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in TX · F 9775

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License F 9775 (TX)

740 HOSPITAL DR, Beaumont, TX 77701

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Other Names 1

Professional Name (2)Dr. Wayne S Margolis M.d.

Other Identifiers 3

Medicare PIN8220B0TX

Medicare UPINC18780TX

Medicaid1493975-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.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. Wayne S Margolis M.d. 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 ID6901903905

PECOS Enrollment IDI20120301000483

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 13

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.

534 services267 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.

485 services270 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

413 services376 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.

156 services150 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.

131 services89 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

61 services61 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

37 services34 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

36 services33 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

28 services28 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.

24 services24 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

17 services17 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

13 services13 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450346

Location3080 College StreetBeaumont, TX 77701 · Jefferson County

Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450573

Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77701 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

$124.88 typical visit price

range $54.04 – $164.93

Typical copayment $31.22 (range $13.51 – $41.23)

Most-billed visit code 99204

Established Patient

$95.83 typical visit price

range $17.17 – $134.47

Typical copayment $23.95 (range $4.29 – $33.61)

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

0%826 patients1/55-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%2,871 patients5/55-star benchmark: 100%

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…

88%675 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

1%810 patients1/55-star benchmark: 95%

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…

100%591 patients5/55-star benchmark: 100%

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

23%94 patients1/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

87%954 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers21 claims21 services$29.93 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

5 suppliers35 claims35 services$66.09 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$31.79 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$31.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JACQUELINE NACOLE DUGAS FNP-BC

Nurse Practitioner

740 HOSPITAL DR, SUITE 300
BEAUMONT, TX 77701

Jefferson County (409) 212-8111

SOPHIA L BURNS MD PA

Obstetrics & Gynecology

740 HOSPITAL DR, SUITE 250
BEAUMONT, TX 77701

Jefferson County (409) 212-9117

PREVITY SURGICAL, PLLC

Surgery

740 HOSPITAL DR, SUITE 280
BEAUMONT, TX 77701

Jefferson County (409) 835-9500

DARRYL C. HARRIS , MD, PA

Obstetrics & Gynecology

740 HOSPITAL DR, SUITE 250
BEAUMONT, TX 77701

Jefferson County (409) 212-1000

BEAUMONT RETINA CONSULTANT PA

Ophthalmology

740 HOSPITAL DR, SUITE 200
BEAUMONT, TX 77701

Jefferson County (409) 832-8883

DR. SHANNON FRUGIA AU.D.

Audiologist

740 HOSPITAL DR, SUITE 310
BEAUMONT, TX 77701

Jefferson County (409) 981-1702

RICK L EVANS MD PA

Obstetrics & Gynecology

740 HOSPITAL DR, SUITE 250
BEAUMONT, TX 77701

Jefferson County (409) 212-1000

DR. GARY R CLAYTON M.D.

Family Medicine

740 HOSPITAL DR, SUITE 210
BEAUMONT, TX 77701

Jefferson County (409) 839-4757

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 Wayne Margolis's NPI number?

The NPI number for Wayne Margolis is 1609871334. It was assigned to this individual provider in the NPPES registry on June 17, 2005. The provider is also known as Dr. Wayne S Margolis M.D..

Where is Wayne Margolis located?

Wayne Margolis practices at 740 Hospital Dr Suite 260, Beaumont, TX 77701. The listed phone number is (409) 835-4003.

What is Wayne Margolis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Wayne Margolis enrolled in Medicare?

Yes. Wayne Margolis 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 Wayne Margolis accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and WellPoint list Wayne Margolis 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 Wayne Margolis affiliated with any hospitals?

According to CMS data, Wayne Margolis is affiliated with Christus Southeast Texas- St Elizabeth, Baptist Beaumont Hospital and Christus Jasper Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Wayne Margolis was last updated on December 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.