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

Q: 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.

Q: What is Rafael Marquez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rafael Marquez was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

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: October 25, 2026.

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

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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

Phone(309) 308-0200

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

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 IDI20250717003062

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

Medicare enrollment records show Rafael Marquez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois

0.6 mi

Pediatrics

1 ILLINI DR
Peoria, IL 61605

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1467425322 (309) 680-8649

Osf Multi-Specialty Group

7.4 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

St Luke's Physician Group Inc

695 mi

Family Medicine

530 CENTRE ST
Ashland, PA 17921

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1134487119 (570) 889-3103

Regional Womens Health Group LLC

746 mi

Obstetrics & Gynecology

450 CRESSON BLVD STE 300
Phoenixville, PA 19460

Reassigned Medicare billing, Pennsylvania enrollment
226 clinicians in this Medicare group

NPI 1750880118 (856) 669-6050

Star Community Health, Inc

746 mi

General Practice

511 E 3RD ST STE 202
Bethlehem, PA 18015

Reassigned Medicare billing, Pennsylvania enrollment
318 clinicians in this Medicare group

NPI 1033686159 (484) 526-4700

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 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

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

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 11

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

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