HENRY C. MARQUEZ M.D.
NPI 1700803756
Internal Medicine - Cardiovascular Disease in Sedalia, MO

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
3700 W 10TH ST, SUITE 200, SEDALIA, MO 65301(660) 827-1771(660) 827-1422 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2021, Feb 2, 2016 (2 updates tracked since 2016).

About Henry C. Marquez M.d. NPPES

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

HENRY C. MARQUEZ M.D. (NPI 1700803756) is an individual cardiovascular disease provider in Sedalia, Missouri, licensed in Missouri (MO103636) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1700803756
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHENRY C. MARQUEZCredential: M.D.
Location Address3700 W 10TH ST, SUITE 200Sedalia, MO 65301-2540
Mailing Address1605 E Broadway, Suite 300Columbia, MO 65201-8023 · (573) 256-7700
Fax(660) 827-1422
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 16, 2006
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
NPI 1700803756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MO · MO103636
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.
3700 W 10TH ST, Sedalia, MO 65301

Other Identifiers 1

Medicaid204797104MO

Accepted 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

Henry C. Marquez 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 ID4385733880
PECOS Enrollment IDI20071207000201
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 39

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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
1,016 services66 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.
821 services724 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.
787 services704 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
597 services184 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
453 services135 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.
390 services382 patients

Hospital Affiliations CMS Care Compare 5

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

Western Missouri Medical Center

Acute Care Hospitals · Warrensburg, MO
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260097
Location403 Burkarth RoadWarrensburg, MO 64093 · Johnson County
Emergency services Birthing friendly

Fitzgibbon Hospital

Acute Care Hospitals · Marshall, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260142
Location2305 S 65 HighwayMarshall, MO 65340 · Saline County
Emergency services Birthing friendly

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65301 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Reported Quality Measures

ACCPin3 Heart Failure: Patient Self Care Education
Patients, age 18 and older, with a principle diagnosis of heart failure (LVEF <40) who received educational counseling on weight monitoring, sodium restriction, physical activity and medication instruction.
95%117 patients4/55-star benchmark: 99%
Cardiac Rehabilitation Patient Referral from an Outpatient Setting
Percentage of patients evaluated in an outpatient setting who within the previous 12 months have experienced an acute myocardial infarction (MI), coronary artery bypass graft (CABG) surgery, a percutaneous coronary intervention (PCI), cardiac valve surgery…
43%195 patients2/55-star benchmark: 91%
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…
99%1,186 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
94%841 patients4/55-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%2,220 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.
99%6,005 patients4/55-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…
92%719 patients4/55-star benchmark: 100%
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.
74%2,608 patients3/55-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.
68%1,813 patients3/55-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…
100%1,661 patients5/55-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…
100%1,813 patients5/55-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…
1%1,813 patients1/55-star benchmark: 79%
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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims292 services$4.14 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,115 services$0.38 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
1 supplier18 claims18 services$111.37 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
1 supplier12 claims12 services$35.00 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 8

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

Clinic/Center (Rural Health)
3700 W 10TH ST
SEDALIA, MO 65301
Obstetrics & Gynecology
3700 W 10TH ST, SUITE 100
SEDALIA, MO 65301
Nurse Practitioner (Family)
3700 W 10TH ST
SEDALIA, MO 65301
Advanced Practice Midwife
3700 W 10TH ST, SUITE 100
SEDALIA, MO 65301
General Practice
3700 W 10TH ST
SEDALIA, MO 65301
Internal Medicine
3700 W 10TH ST, SUITE 301
SEDALIA, MO 65301
Nurse Practitioner (Family)
3700 W 10TH ST
SEDALIA, MO 65301
Nurse Practitioner (Women's Health)
3700 W 10TH ST, SUITE 100
SEDALIA, MO 65301

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 Henry Marquez's NPI number?

The NPI number for Henry Marquez is 1700803756. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Henry Marquez located?

Henry Marquez practices at 3700 W 10th St Suite 200, Sedalia, MO 65301. The listed phone number is (660) 827-1771.

What is Henry Marquez's specialty?

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

Is Henry Marquez enrolled in Medicare?

Yes. Henry Marquez 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 Henry Marquez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Henry Marquez 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 Henry Marquez affiliated with any hospitals?

According to CMS data, Henry Marquez is affiliated with Bothwell Regional Health Center, Boone Hospital Center, Western Missouri Medical Center, Fitzgibbon Hospital and Golden Valley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Henry Marquez was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.