Dr. Raul Marquez, MD
- Medicare services, 2024
- 1,447
- Medicare patients, 2024
- 438
- Part D claims, 2024
- 723
- Hospital affiliations
- 2
- Industry payments
- $6,124
- Practice address
- 27700 Medical Center Rd, Mission Viejo, CA 92691
- Practice phone
- Call (949) 365-2447
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mission Hospital - Unit
Acute Care Hospital-Unit · Mission Viejo, California
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Dr. Raul Marquez is a pulmonologist in Mission Viejo, California
Dr. Marquez practices at Mission Hospital - Unit in Mission Viejo, California.
Dr. Marquez's NPI, 1215914536, was assigned on December 28, 2005. Dr. Marquez graduated from Tufts University School Of Medicine in 1997. Dr. Marquez holds California license A66708.
- NPI
- 1215914536NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2062518624
- NPI enumeration date
- December 28, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (949) 365-2447
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 55
- Medical school graduation
- 1997
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Raul Marquez practices at Mission Hospital - Unit in Mission Viejo, California
Dr. Marquez's primary practice is Mission Hospital - Unit, at 27700 Medical Center Rd, Mission Viejo, CA 92691 in Orange County. The practice phone is (949) 365-2447.
- Mission Hospital - Unit27700 Medical Center Rd, Mission Viejo, CA 92691 · Orange CountyPhone(949) 365-2447
Source: Dmand AI Affiliation Data
Dr. Raul Marquez is affiliated with 3 sites of care and 1 medical group
Dr. Marquez's primary practice is Mission Hospital - Unit in Mission Viejo, California. Dr. Marquez is also affiliated with Providence Mission Hospital. The medical group on file is St. Jude Heritage Medical Group. Dmand AI also links Dr. Marquez to 1 more group practice or clinic, named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Raul Marquez's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Marquez practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mission Hospital - Unit | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Raul Marquez is one of 1,339 pulmonologists in California
Pulmonary disease is Dr. Marquez's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Marquez is board certified in pulmonary disease by the American Board of Internal Medicine. Dr. Marquez is licensed in California.
Specialties and state licenses
- Pulmonary disease, CaliforniaPrimary
Clinical focus
Dmand AI lists asthma, chronic obstructive pulmonary disease (COPD), chronic respiratory failure, pneumonia, pulmonary fibrosis and tobacco use among the conditions Dr. Marquez treats.
Pulmonologists near Dr. Marquez
Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Raul Marquez billed Medicare for 1,447 services in 2024
CMS data shows 1,447 Medicare services from Dr. Marquez across 13 procedure codes in 2024, for 438 Medicare patients. Medicare paid $165,221 for them.
Dr. Marquez's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1,3232024: 1,18910%
- Tests and treatments
- 2023: 2052024: 2155%
- Surgery
- 2023: 682024: 4337%
Where Dr. Marquez's Medicare services took place, 2024
- In an office54638%
- In a facility90162%
Dr. Marquez compared with the California median for pulmonologists, 2024
- Dr. Marquez
- California median
- Medicare services
- 1,447vs 6492.2 times
- Medicare patients
- 438vs 27261% above
- Part D claims
- 629vs 42149% above
Medians across 1,263 pulmonologists in California with Dmand AI profiles that report each measure.
Dr. Marquez's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Marquez?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Marquez and other pulmonologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Raul Marquez treated 438 Medicare patients in 2024, average age 78
CMS counts 438 Medicare patients who saw Dr. Marquez in 2024. The largest group is 75 to 84, with 191 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 13% are also on Medicaid. Their average risk score is 2.02, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Marquez's median patient age at 73, with 45% women.
Dr. Marquez's Medicare patients by age, 2024
Dr. Marquez's Medicare patients by sex, 2024
- Women21750%
- Men22150%
Chronic conditions among Dr. Marquez's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis52%
- Ischemic heart disease44%
- Atrial fibrillation43%
- COPD39%
- Heart failure35%
- Chronic kidney disease34%
Share of Medicare patients with each condition. A patient can have several.
Dr. Marquez's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women45%
- Men54%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Raul Marquez wrote 723 Medicare Part D claims in 2024
In 2024, Dr. Marquez wrote 723 Medicare Part D claims for 136 patients. 49% of them were for generic drugs. CMS names the drug for 629 of them, across 17 drugs with 11 or more claims each, at $263,258 in total drug cost. In 2023, CMS named 754 claims across 15 drugs.
Dr. Marquez's Part D claims by kind of drug, 2024
- Generic354 claims49%
- Brand-name369 claims51%
Dr. Marquez's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Marquez's Part D claims, 2024
- Antibiotics8%56 of 723 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 7542024: 62917%
Drugs named by CMS: 17 in 2024, 15 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Dr. Raul Marquez takes part in Medicare
Dr. Marquez accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Raul Marquez received $6,124 in industry payments from 2016 to 2025
CMS Open Payments shows 322 general payments to Dr. Marquez from 39 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 94% of the total. GlaxoSmithKline, LLC. paid the most, $1,362.
General payments to Dr. Marquez by program year, 2016 to 2025
General payments to Dr. Marquez by kind, 2016 to 2025
- Food and beverage$5,73294%
- Travel and lodging$2494%
- Education$1432%
Companies that paid Dr. Marquez the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Raul Marquez graduated from Tufts University School Of Medicine
Dr. Marquez graduated from Tufts University School Of Medicine in 1997.
- Medical school
- Board certified in pulmonary disease
- Board certified in critical care medicine
- Board certified in internal medicine
- Board certified in pulmonary disease
Source: Dmand AI Professional Profile Data
Dr. Raul Marquez accepts plans from 14 insurance carriers
Dr. Marquez is in network with 14 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Excellus BlueCross BlueShield
- Blue Cross Blue Shield of Michigan
- United Healthcare
- HCSC
- Humana
- Blue Cross Blue Shield of Massachusetts
- +6 more carriersWith a free account
Plan types Dr. Marquez accepts, by number of carriers
- Medicare10
- PPO10
- HMO8
- EPO5
- POS5
Source: Dmand AI Insurance Network Data
Sources for Dr. Raul Marquez's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Raul Marquez
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Raul Marquez's NPI number?
Dr. Raul Marquez's NPI number is 1215914536. It was assigned on December 28, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. Raul Marquez?
Dr. Raul Marquez is a pulmonologist in Mission Viejo, California. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. Raul Marquez practice?
Dr. Marquez practices at 27700 Medical Center Rd, Mission Viejo, CA 92691. Dr. Marquez's primary practice is Mission Hospital - Unit in Mission Viejo, California. Dmand AI also links Dr. Marquez to 1 group practice or clinic.
What is Dr. Raul Marquez's office phone number?
The practice phone on file for Dr. Marquez is (949) 365-2447.
What is Dr. Raul Marquez's medical license number?
Dr. Marquez holds California license A66708.
Which hospitals is Dr. Raul Marquez affiliated with?
Dr. Marquez is affiliated with Providence Mission Hospital. Dmand AI links Dr. Marquez to 1 more hospital.
What medical group is Dr. Raul Marquez part of?
Dr. Marquez is linked to St. Jude Heritage Medical Group.
Does Dr. Raul Marquez accept Medicare?
Yes. CMS data shows Dr. Marquez billed Medicare for 1,447 services in 2024, and Dr. Marquez accepts Medicare assignment.
How many Medicare patients does Dr. Raul Marquez see?
CMS counts 438 Medicare patients who saw Dr. Marquez in 2024, with an average age of 78.
Is Dr. Raul Marquez board certified?
Yes. Dr. Marquez is board certified in pulmonary disease by the American Board of Internal Medicine.
Show 6 more questionsShow fewer questions
What services does Dr. Raul Marquez bill to Medicare?
In 2024, Dr. Marquez's most billed Medicare services were critical care (99291), hospital inpatient care (99233) and office visit, established patient (99214).
Where did Dr. Raul Marquez go to medical school?
Dr. Marquez graduated from Tufts University School Of Medicine in 1997.
What drugs does Dr. Raul Marquez prescribe most?
In 2024 Medicare Part D data, Dr. Marquez's most prescribed drugs by claims were Trelegy Ellipta, Albuterol Sulfate Hfa and Methylprednisolone.
Has Dr. Raul Marquez received payments from drug or device companies?
CMS Open Payments shows $6,124 in general payments to Dr. Marquez from 39 companies from 2016 to 2025. The largest total came from GlaxoSmithKline, LLC.
How long has Dr. Raul Marquez been practicing?
Dr. Marquez graduated from medical school in 1997, 29 years ago.
What insurance does Dr. Raul Marquez accept?
Dr. Marquez is in network with 14 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
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