MARCOS SOSA MD
NPI 1912160763
Obstetrics & Gynecology in Austin, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
211 COMAL ST, AUSTIN, TX 78702(512) 978-9200(512) 901-9756 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2022, Sep 27, 2021, Sep 15, 2021 and 21 more (24 updates tracked since 2018).

About Marcos Sosa Md NPPES

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

MARCOS SOSA MD (NPI 1912160763) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (P3246) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912160763
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARCOS SOSACredential: MD
Location Address211 COMAL STAustin, TX 78702-4326
Mailing Address211 Comal StAustin, TX 78702-4326 · (512) 978-9200 · Fax (512) 901-9756
Fax(512) 901-9756
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 2, 2008
Last NPPES UpdateMay 22, 202424 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1912160763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in TX · P3246 Licensed in NC · 2019-02342 Licensed in FL · ME153082
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.

211 COMAL ST, Austin, TX 78702

Secondary Practice Locations 2

Location 11210 W Braker LnAustin, TX 78758-3801 · Phone (512) 978-9300 · Fax (512) 901-9737
Location 22901 Montopolis DrAustin, TX 78741-6411 · Phone (512) 978-9901 · Fax (512) 901-9765

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

Marcos Sosa 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 ID7416104716
PECOS Enrollment IDI20120821000796
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78702 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

Other Providers at the Same Location NPPES 20

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

Pediatrics
211 COMAL ST
AUSTIN, TX 78702
Pharmacist
211 COMAL ST
AUSTIN, TX 78702
Dietitian, Registered
211 COMAL ST
AUSTIN, TX 78702
Audiologist
211 COMAL ST
AUSTIN, TX 78702
Family Medicine
211 COMAL ST
AUSTIN, TX 78702
Social Worker (Clinical)
211 COMAL ST
AUSTIN, TX 78702
Social Worker
211 COMAL ST
AUSTIN, TX 78702
Clinic/Center (Federally Qualified Health Center (FQHC))
211 COMAL ST
AUSTIN, TX 78702

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 Marcos Sosa's NPI number?

The NPI number for Marcos Sosa is 1912160763. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Marcos Sosa located?

Marcos Sosa practices at 211 Comal St, Austin, TX 78702. The listed phone number is (512) 978-9200.

What is Marcos Sosa's specialty?

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

Is Marcos Sosa enrolled in Medicare?

Yes. Marcos Sosa 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 Marcos Sosa accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Marcos Sosa 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 Marcos Sosa was last updated on May 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.