Raul Marquez, M.D.
NPI 1215914536 · Pulmonary Disease Physician · Mission Viejo, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raul Marquez, M.D. is a Pulmonary Disease Physician provider in Mission Viejo, CA (NPI 1215914536).
Provider details
- NPI number
- 1215914536
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A66708 (CA)
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
20 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
1,447 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 490 | $216 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 303 | $121 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 274 | $138 |
| Test to Determine Lung Volumes Using Sensors94726 | 72 | $64 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 71 | $65 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 53 | $82 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 129 | 32 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 103 | 39 |
| Methylprednisolone | 93 | 41 |
| Prednisone | 48 | 16 |
| Tiotropium Bromidebrand: Spiriva Respimat | 39 | — |
| Budesonide/Formoterol Fumaratebrand: Breyna | 30 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$148 across 7 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
- 2005-12-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Raul Marquez's NPI number?
- Raul Marquez's National Provider Identifier (NPI) is 1215914536, 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 Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Raul Marquez located?
- Raul Marquez's practice location on file with NPPES is 26800 Crown Valley Pkwy, Mission Viejo, CA 92691.
- What is Raul Marquez's phone number?
- The practice phone number listed in the NPPES registry for Raul Marquez is (949) 364-3330.
- 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 (1215914536) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.