DR. RANDALL CARTER MARX M.D.
NPI 1790980068
Orthopaedic Surgery in San Antonio, TX

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
74.43/100
CMS Quality Rating
2829 BABCOCK RD STE 700, SAN ANTONIO, TX 78229(210) 593-1480(210) 593-1483 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2017, Jun 15, 2017 (2 updates tracked since 2017).

About Dr. Randall Carter Marx M.d. NPPES

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

DR. RANDALL CARTER MARX M.D. (NPI 1790980068) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (N3168) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2004).

NPPES Registry Identity

NPI1790980068
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RANDALL CARTER MARXCredential: M.D.
Location Address2829 BABCOCK RD STE 700San Antonio, TX 78229-6015
Mailing Address400 Concord Plaza Dr, Suite 300San Antonio, TX 78216-6991 · (210) 593-1480 · Fax (210) 593-1483
Fax(210) 593-1483
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2004
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 13, 20172 updates tracked since enumeration
NPI 1790980068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · N3168
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License N3168 (TX)
2829 BABCOCK RD STE 700, San Antonio, TX 78229

Other Identifiers 3

Other74-3003947Tax Id
Medicaid219358301TX
Medicare PINTXB108594TX

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

Dr. Randall Carter Marx 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 ID9931225109
PECOS Enrollment IDI20100924000527
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 29

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.
801 services572 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
518 services320 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
416 services140 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
297 services183 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.
185 services134 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
168 services138 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

74.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.07
Promoting Interoperability88
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
61%412 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%2,399 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
63%108 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
94%68 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%5,736 patients4/55-star benchmark: 100%
e-Prescribing
98%137 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%1,612 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%3,915 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%4,284 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%5,366 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 46% · 3,015 patients
Patients screened: 49% · 3,015 patients
10%101 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
66%1,409 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%116 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,700 patients
Patients totalRate: 2% · 1,700 patients
2%1,700 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
2 suppliers18 claims18 services$34.05 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
4 suppliers52 claims53 services$107.92 avg. paid by Medicare
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated L1960
DME-Orthotic Devices · category DF003N
3 suppliers13 claims13 services$433.07 avg. paid by Medicare
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820
DME-Orthotic Devices · category DF000N
4 suppliers23 claims23 services$67.88 avg. paid by Medicare
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier20 claims20 services$74.58 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
4 suppliers86 claims86 services$204.11 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 10

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

Orthopaedic Surgery
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229
Physician Assistant
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229
Orthopaedic Surgery (Sports Medicine)
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229
Podiatrist (Foot & Ankle Surgery)
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229
Physical Therapy Assistant
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229
Physical Therapist
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229
Physician Assistant
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229
Orthopaedic Surgery
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229

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 Randall Marx's NPI number?

The NPI number for Randall Marx is 1790980068. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Randall Marx located?

Randall Marx practices at 2829 Babcock Rd Ste 700, San Antonio, TX 78229. The listed phone number is (210) 593-1480.

What is Randall Marx's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Randall Marx enrolled in Medicare?

Yes. Randall Marx 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 Randall Marx accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Randall Marx 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 Randall Marx affiliated with any hospitals?

According to CMS data, Randall Marx is affiliated with Baptist Medical Center and Christus Santa Rosa Medical Center.

When was this NPI record last updated?

The NPPES record for Randall Marx was last updated on July 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.