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DR. MARC A IBANEZ MD
NPI 1851497903
Internal Medicine in Alice, TX

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
1009 E 6TH ST, ALICE, TX 78332(361) 668-8888(361) 664-1818 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Jan 3, 2020, Sep 24, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Marc A Ibanez Md NPPES

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

DR. MARC A IBANEZ MD (NPI 1851497903) is an individual internal medicine provider in Alice, Texas, licensed in Texas (M4188) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2004).

NPPES Registry Identity

NPI1851497903
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARC A IBANEZCredential: MD
Location Address1009 E 6TH STAlice, TX 78332-4657
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 533-6836 · Fax (407) 770-0661
Phone(361) 668-8888
Fax(361) 664-1818
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2004
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1851497903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M4188
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License M4188 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License M4188 (TX)
1009 E 6TH ST, Alice, TX 78332
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Sendero Health Plans, Local Nonprofit.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

Dr. Marc A Ibanez 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 ID6709973886
PECOS Enrollment IDI20071106000791
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

2

Medicare enrollment records show Marc Ibanez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Conviva Medical Center Management Of Texas, P.A.
125 mi
Internal Medicine
12602 TOEPPERWEIN RD STE 100
Live Oak, TX 78233
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group
NPI 1770988990 (210) 654-0030
Usacs Integrated Acute Care Services Of Texas, PLLC
192 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78332 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

JERRY LILES D.O.
Family Medicine
1009 E 6TH ST
ALICE, TX 78332
Jim Wells County (361) 668-8888
ANA YNFANTE MAYORGA APRN, AGPCNP-BC
Nurse Practitioner (Gerontology)
1009 E 6TH ST
ALICE, TX 78332
Jim Wells County (361) 668-8888
MS. KIMBERLEY MICHELLE MILLS FNP-C
Nurse Practitioner (Family)
1009 E 6TH ST
ALICE, TX 78332
Jim Wells County (361) 668-8888

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 Marc Ibanez's NPI number?

The NPI number for Marc Ibanez is 1851497903. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Marc Ibanez located?

Marc Ibanez practices at 1009 E 6th St, Alice, TX 78332. The listed phone number is (361) 668-8888.

What is Marc Ibanez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Ibanez enrolled in Medicare?

Yes. Marc Ibanez 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 Marc Ibanez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Ibanez reassigns Medicare benefits to 2 organizations: Conviva Medical Center Management Of Texas, P.A. (Live Oak, TX) and Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX). 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 Marc Ibanez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Ibanez accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Sendero Health Plans, Local Nonprofit list Marc Ibanez 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.

When was this NPI record last updated?

The NPPES record for Marc Ibanez was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.