NANCY G MARQUEZ M.D.
NPI 1912986803
Surgery in Austin, TX

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
3705 MEDICAL PKWY STE 250, AUSTIN, TX 78705(512) 302-1210(512) 451-9752 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy G Marquez M.d. NPPES

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

NANCY G MARQUEZ M.D. (NPI 1912986803) is an individual surgery provider in Austin, Texas, licensed in Texas (H2562) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Baylor College Of Medicine (1986).

NPPES Registry Identity

NPI1912986803
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNANCY G MARQUEZCredential: M.D.
Location Address3705 MEDICAL PKWY STE 250Austin, TX 78705-1022
Mailing Address3705 Medical Pkwy Ste 250Austin, TX 78705-1022 · (512) 302-1210 · Fax (512) 451-9752
Fax(512) 451-9752
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1986
Enumeration DateJanuary 10, 2006
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
NPI 1912986803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · H2562
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3705 MEDICAL PKWY STE 250, Austin, TX 78705

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

Nancy G 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 ID1153399175
PECOS Enrollment IDI20040920000809
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 3

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.
38 services26 patients
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.
19 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
32%37 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
76%25 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
83%360 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
59%371 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%269 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
59%29 patients2/55-star benchmark: 91%
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.

Other Providers at the Same Location NPPES 11

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

Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705
Surgery
3705 MEDICAL PKWY STE 250
AUSTIN, TX 78705

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 Nancy Marquez's NPI number?

The NPI number for Nancy Marquez is 1912986803. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Nancy Marquez located?

Nancy Marquez practices at 3705 Medical Pkwy Ste 250, Austin, TX 78705. The listed phone number is (512) 302-1210.

What is Nancy Marquez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nancy Marquez enrolled in Medicare?

Yes. Nancy 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.

What insurance does Nancy Marquez 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 3 other insurers list Nancy 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 Nancy Marquez affiliated with any hospitals?

According to CMS data, Nancy Marquez is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Nancy Marquez was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.