MR. MANUEL MARQUEZ FNP
NPI 1740532977
Nurse Practitioner - Family in Fairfield, CT

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment
98.01/100
CMS Quality Rating
75 KINGS HIGHWAY CUTOFF STE 3A, FAIRFIELD, CT 06824(203) 373-7330 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Manuel Marquez Fnp NPPES

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

MR. MANUEL MARQUEZ FNP (NPI 1740532977) is an individual family provider in Fairfield, Connecticut, licensed in New York (F337207-1) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1740532977
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MANUEL MARQUEZCredential: FNP
Location Address75 KINGS HIGHWAY CUTOFF STE 3AFairfield, CT 06824-5340
Mailing Address11350 Mccormick Rd, Executive Plaza 1, Ste. 501Hunt Valley, MD 21031-2313 · (703) 914-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 11, 2012
Last NPPES UpdateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1740532977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F337207-1
75 KINGS HIGHWAY CUTOFF STE 3A, Fairfield, CT 06824

Accepted 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

Mr. Manuel Marquez Fnp 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 ID749428472
PECOS Enrollment IDI20210308000578
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 Manuel Marquez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Medicine
67 SANDPIT RD, SUITE 308
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
Anesthesiology
4422 3RD AVE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group

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 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 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.
766 services233 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
158 services113 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.
151 services81 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
109 services90 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
51 services43 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06824 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

98.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.99
Promoting Interoperability100
Improvement Activities40
Cost84.23

Reported Quality Measures

Advance Care Plan
88%611 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
58%366 patients3/55-star benchmark: 98%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%157 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
69%1,389 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
70%1,073 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%4,690 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 1,166 patients
Patients screened: 89% · 1,166 patients
68%304 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 91% · 1,166 patients
Patients screened: 97% · 1,166 patients
38%114 patients
Provide Patients Electronic Access to Their Health Information
98%985 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.

Other Providers at the Same Location NPPES 2

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

Pain Medicine (Interventional Pain Medicine)
75 KINGS HIGHWAY CUTOFF STE 3A
FAIRFIELD, CT 06824
Physician Assistant
75 KINGS HIGHWAY CUTOFF STE 3A
FAIRFIELD, CT 06824

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 Manuel Marquez's NPI number?

The NPI number for Manuel Marquez is 1740532977. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Manuel Marquez located?

Manuel Marquez practices at 75 Kings Highway Cutoff Ste 3A, Fairfield, CT 06824. The listed phone number is (203) 373-7330.

What is Manuel Marquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Manuel Marquez enrolled in Medicare?

Yes. Manuel 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.

Which organizations bill Medicare for Manuel Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Marquez reassigns Medicare benefits to 2 organizations: Pain & Spine Specialists Of Connecticut, LLC (Danbury, CT) and Bronx Anesthesia Services, PC (Bronx, NY). 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 Manuel Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Marquez accept?

Health plans from Anthem Blue Cross and Blue Shield list Manuel 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.

When was this NPI record last updated?

The NPPES record for Manuel Marquez was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.