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DR. LUIS MARIO MARQUEZ M.D.
NPI 1801865795
Family Medicine in San Diego, CA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
4060 FOURTH AVE STE 540, SAN DIEGO, CA 92103(619) 236-8796(619) 238-5702 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, May 12, 2023 (2 updates tracked since 2023).

About Dr. Luis Mario Marquez M.d. NPPES

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

DR. LUIS MARIO MARQUEZ M.D. (NPI 1801865795) is an individual family medicine provider in San Diego, California, licensed in California (A45934) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1801865795
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUIS MARIO MARQUEZCredential: M.D.
Location Address4060 FOURTH AVE STE 540San Diego, CA 92103-2121
Mailing Address4060 Fourth Ave Ste 540San Diego, CA 92103-2121 · (858) 270-7633 · Fax (858) 270-7692
Phone(619) 236-8796
Fax(619) 238-5702
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1801865795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A45934
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4060 FOURTH AVE STE 540, San Diego, CA 92103
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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. Luis Mario 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 ID7214924299
PECOS Enrollment IDI20040429001598
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 4

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 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.
412 services113 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
124 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers39 claims97 services$6.82 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers11 claims11 services$2.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers23 claims36 services$1.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims66 services$14.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$42.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$1.62 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 3

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

LUIS MARIO MARQUEZ M D INC
Family Medicine
4060 FOURTH AVE STE 540
SAN DIEGO, CA 92103
San Diego County (619) 236-8796
JOSEPH ALAN ZAKOWSKI DDS
Dentist
4060 FOURTH AVE STE 540
SAN DIEGO, CA 92103
San Diego County (619) 417-6260
MR. JORGE ZARATE P.A.-C
Physician Assistant (Medical)
4060 FOURTH AVE STE 540
SAN DIEGO, CA 92103
San Diego County (619) 236-8796

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 Luis Marquez's NPI number?

The NPI number for Luis Marquez is 1801865795. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Luis Marquez located?

Luis Marquez practices at 4060 Fourth Ave Ste 540, San Diego, CA 92103. The listed phone number is (619) 236-8796.

What is Luis Marquez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luis Marquez enrolled in Medicare?

Yes. Luis 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.

When was this NPI record last updated?

The NPPES record for Luis Marquez was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.