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DR. MARCO T SILVA MD
NPI 1669472577
Specialist in Beaumont, TX

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
2965 HARRISON ST, SUITE 111, BEAUMONT, TX 77702(409) 898-7800(409) 898-3295 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marco T Silva Md NPPES

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

DR. MARCO T SILVA MD (NPI 1669472577) is an individual specialist in Beaumont, Texas, licensed in Texas (L7561) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of University Of California, San Diego School Of Medicine (1997).

NPPES Registry Identity

NPI1669472577
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARCO T SILVACredential: MD
Location Address2965 HARRISON ST, SUITE 111Beaumont, TX 77702-1100
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 606-6400 · Fax (903) 606-1522
Phone(409) 898-7800
Fax(409) 898-3295
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1997
Enumeration DateJuly 21, 2005
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1669472577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · L7561
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License L7561 (TX)
2965 HARRISON ST, Beaumont, TX 77702
Open in Google Maps ↗

Other Identifiers 8

Other8813744001TX · Cigna
Medicaid148913001TX
Other7333499TX · Aetna
Other0089KHTX · Bcbs
OtherA002TX · Tricare Champus
OtherP00142069TX · Railroad Medicare
Other0020HDTX · Group Bcbs
Medicaid1646150TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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. Marco T Silva 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 ID2365356748
PECOS Enrollment IDI20031126000546
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 6

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.
192 services140 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.
184 services184 patients
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.
69 services56 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.
63 services28 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.
53 services53 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.
49 services49 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

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.

Reported Quality Measures

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.
97%2,473 patients4/55-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.
33%290 patients1/55-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.
0%515 patients1/55-star benchmark: 100%
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…
12%1,635 patients1/55-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
16%116 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
5%549 patients1/55-star benchmark: 100%
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…
24%515 patients1/55-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.

Other Providers at the Same Location NPPES 15

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

DR. MICHAEL ONG MD
Internal Medicine (Gastroenterology)
2965 HARRISON ST, STE 211
BEAUMONT, TX 77702
Jefferson County (409) 899-4231
DR. JAMES CARLTON ROBINSON MD
Internal Medicine (Nephrology)
2965 HARRISON ST, 116
BEAUMONT, TX 77702
Jefferson County (409) 892-1003
GOLDEN TRIANGLE NEUROCARE LLP
Neurological Surgery
2965 HARRISON ST, SUITE 111
BEAUMONT, TX 77702
Jefferson County (409) 898-7800
DR. CHARLES BRIAN CRIM M.D.
Dermatology (Procedural Dermatology)
2965 HARRISON ST, #217
BEAUMONT, TX 77702
Jefferson County (409) 892-4664
SURGICAL CRITICAL CARE ASSOCIATES, LLP
Surgery (Trauma Surgery)
2965 HARRISON ST, SUITE 211
BEAUMONT, TX 77702
Jefferson County (409) 899-8501
SHUNG MAN KURT LEE MD
Internal Medicine (Nephrology)
2965 HARRISON ST, STE 222
BEAUMONT, TX 77702
Jefferson County (409) 892-1003
SHUNG-MAN KURT LEE MDPA
Internal Medicine (Nephrology)
2965 HARRISON ST, STE 222
BEAUMONT, TX 77702
Jefferson County (409) 892-1003
VIJAYALAKSHMI MADALA TAMMAREDDI M.D.
Anesthesiology
2965 HARRISON ST, SUITE 316
BEAUMONT, TX 77702
Jefferson County (409) 899-2332

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 Marco Silva's NPI number?

The NPI number for Marco Silva is 1669472577. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Marco Silva located?

Marco Silva practices at 2965 Harrison St Suite 111, Beaumont, TX 77702. The listed phone number is (409) 898-7800.

What is Marco Silva's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Marco Silva enrolled in Medicare?

Yes. Marco Silva 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 Marco Silva accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Marco Silva 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 Marco Silva affiliated with any hospitals?

According to CMS data, Marco Silva 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 Marco Silva was last updated on June 26, 2023. 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.