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HECTOR A. MARQUEZ MD
NPI 1831365840
Internal Medicine - Pulmonary Disease in Boston, MA

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
72 EAST CONCORD ST, R304, BOSTON, MA 02118(617) 358-1340(617) 358-1337 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Hector A. Marquez Md NPPES

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

HECTOR A. MARQUEZ MD (NPI 1831365840) is an individual pulmonary disease provider in Boston, Massachusetts, licensed in Massachusetts (241682) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Winthrop.

NPPES Registry Identity

NPI1831365840
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHECTOR A. MARQUEZCredential: MD
Location Address72 EAST CONCORD ST, R304Boston, MA 02118-2526
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2960
Phone(617) 358-1340
Fax(617) 358-1337
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 30, 2008
Last NPPES UpdateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1831365840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MA · 241682
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 241682 (MA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 241682 (MA)
72 EAST CONCORD ST, Boston, MA 02118
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Secondary Practice Location 1

Location 117 Main StWinthrop, MA 02152-2715 · Phone (617) 568-7202

Other Identifiers 2

Medicaid110093704AMA
Medicaid3116069NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Hector A. 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 ID1951457324
PECOS Enrollment IDI20090928000003
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

4

Medicare enrollment records show Hector Marquez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Evans Medical Foundation, Inc.
0.2 mi
Internal Medicine
1 BOSTON MEDICAL CTR PL
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 573 clinicians in this Medicare group
NPI 1912954124 (617) 358-3510
Internal Medical Associates-Ebnhc
3.1 mi
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 577 clinicians in this Medicare group
NPI 1558481879 (617) 569-5800
Neighborhealth Corporation
3.1 mi
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: East Boston Neighborhood Health Center Corp
  • 456 clinicians in this Medicare group
NPI 1316994411 (617) 569-5800
Sturdy Health Inc
29 mi
Internal Medicine
159 PLEASANT ST
Attleboro, MA 02703
  • Reassigned Medicare billing, Massachusetts enrollment
  • 10 clinicians in this Medicare group
NPI 1538194527 (508) 226-0213

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 10

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.
103 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services21 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
40 services40 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
33 services33 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers15 claims15 services$3.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$63.06 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.28 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

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

ROSE HEALY MD
Student in an Organized Health Care Education/Training Program
72 EAST CONCORD ST, EVANS 124
BOSTON, MA 02118
Suffolk County (617) 638-6514

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 Hector Marquez's NPI number?

The NPI number for Hector Marquez is 1831365840. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Hector Marquez located?

Hector Marquez practices at 72 East Concord St R304, Boston, MA 02118. The listed phone number is (617) 358-1340.

What is Hector Marquez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hector Marquez enrolled in Medicare?

Yes. Hector 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 Hector Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hector Marquez reassigns Medicare benefits to 4 organizations: Evans Medical Foundation, Inc. (Boston, MA), Internal Medical Associates-Ebnhc (East Boston, MA), Neighborhealth Corporation (East Boston, MA) and Sturdy Health Inc (Attleboro, MA). 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 Hector Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hector Marquez accept?

Health plans from WellSense Health Plan list Hector 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.

Is Hector Marquez affiliated with any hospitals?

According to CMS data, Hector Marquez is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Hector Marquez was last updated on September 5, 2024. 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.