Raul Marquez, MD
NPI 1164434320 · Adult Reconstructive Orthopaedic Surgery Physician · Edinburg, TX
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raul Marquez, MD is a Adult Reconstructive Orthopaedic Surgery Physician provider in Edinburg, TX (NPI 1164434320).
Provider details
- NPI number
- 1164434320
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- J1302 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
372 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Knee, 4 Or More Views73564 | 98 | $44 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 54 | $70 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 45 | $1,201 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 42 | $160 |
| Computer-Assisted Surgery for Muscle and Bone Procedure20985 | 38 | $137 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 187 | 100 |
| Ibuprofen | 115 | 90 |
| Tramadol Hcl/Acetaminophenbrand: Tramadol Hcl-Acetaminophen | 48 | 44 |
| Tramadol Hcl | 34 | 23 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 34 | 27 |
| Diclofenac Sodium | 13 | — |
| Gabapentin | 13 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,367 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2016-02-05
Frequently asked questions
- What is Raul Marquez's NPI number?
- Raul Marquez's National Provider Identifier (NPI) is 1164434320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raul Marquez's specialty?
- Raul Marquez is listed in the NPPES registry with a primary specialty of Adult Reconstructive Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Raul Marquez located?
- Raul Marquez's practice location on file with NPPES is 2402 Cornerstone Blvd, Edinburg, TX 78539-8462.
- What is Raul Marquez's phone number?
- The practice phone number listed in the NPPES registry for Raul Marquez is (956) 668-0060.
- Does Raul Marquez accept Medicare?
- Raul Marquez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raul Marquez's NPI active?
- Yes — Raul Marquez's NPI (1164434320) is active in the NPPES registry as of the last update on 2016-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.