RAFAEL MARQUEZ MD
NPI 1790177574
Obstetrics & Gynecology in Peoria, IL

Active since March 03, 2015PECOS EnrolledAccepts Medicare Assignment
1310 N MISSOURI AVE, PEORIA, IL 61603(309) 308-0200(309) 308-0201 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2025, Jun 9, 2023, Apr 16, 2021 and 1 more (4 updates tracked since 2020).

About Rafael Marquez Md NPPES

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

RAFAEL MARQUEZ MD (NPI 1790177574) is an individual obstetrics & gynecology provider in Peoria, Illinois, licensed in Illinois (036175175) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1790177574
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRAFAEL MARQUEZCredential: MD
Location Address1310 N MISSOURI AVEPeoria, IL 61603-3105
Mailing Address1310 N Missouri AvePeoria, IL 61603-3105 · (309) 308-0200 · Fax (309) 308-0201
Fax(309) 308-0201
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2019
Enumeration DateMarch 3, 2015
Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1790177574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in IL · 036175175 Licensed in NY · 314829 Licensed in PA · MD481182
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1310 N MISSOURI AVE, Peoria, IL 61603

Secondary Practice Location 1

Location 1801 Ostrum StBethlehem, PA 18015-1000 · Phone (708) 310-0392

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

Rafael Marquez 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 ID2860722840
PECOS Enrollment IDI20230804001011, I20250717003062
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 3

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.

Creation of sling around urethra in female to control leakage 57288
This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.
30 services30 patients
Repair of pelvic ligaments through vagina 57282
This procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.
20 services20 patients
Plastic repair of vagina and tissue separating vagina, rectum, and bladder 57260
This procedure involves the surgical restoration of the body's lower passage and the tissue that separates it from the waste and urine disposal systems. It's done to improve comfort and function due to conditions like injury or aging.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Physician Assistant
1310 N MISSOURI AVE
PEORIA, IL 61603
Social Worker (Clinical)
1310 N MISSOURI AVE
PEORIA, IL 61603
Registered Nurse
1310 N MISSOURI AVE
PEORIA, IL 61603
Nurse Practitioner (Acute Care)
1310 N MISSOURI AVE
PEORIA, IL 61603
Internal Medicine (Medical Oncology)
1310 N MISSOURI AVE
PEORIA, IL 61603
Nurse Practitioner (Family)
1310 N MISSOURI AVE
PEORIA, IL 61603
Nurse Practitioner (Adult Health)
1310 N MISSOURI AVE
PEORIA, IL 61603
Surgery
1310 N MISSOURI AVE
PEORIA, IL 61603

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 Marquez's NPI number?

The NPI number for Rafael Marquez is 1790177574. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Rafael Marquez located?

Rafael Marquez practices at 1310 N Missouri Ave, Peoria, IL 61603. The listed phone number is (309) 308-0200.

What is Rafael Marquez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rafael Marquez enrolled in Medicare?

Yes. Rafael 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.

Is Rafael Marquez affiliated with any hospitals?

According to CMS data, Rafael Marquez is affiliated with Saint Francis Medical Center and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Rafael Marquez was last updated on July 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.