Raul Marquez, M.D.
NPI 1215914536ActiveIndividual· Internal Medicine, Pulmonary Disease· Mission Viejo, CA
Internal Medicine, Pulmonary Disease (M.D.) in Mission Viejo, California, trained at Tufts University School of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $284,131 for 723 claims, against $170,962 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. was the largest of 10 companies reporting payments in 2025, $529.49 in all, mostly food and beverage.
Overview
| NPI | 1215914536 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 28, 2005 |
| Last updated in NPPES | Oct 28, 2020 |
| Certified by provider | Oct 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | A66708 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 438 |
|---|---|
| Services billed | 1,509 across 25 procedure codes |
| Paid by Medicare | $170,962 |
Part D prescriptions in 2024
| Prescriptions (claims) | 723 · 915 30-day fills |
|---|---|
| Patients | 136 |
| Total drug cost | $284,131 |
| Generic share | 49% of claims |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Internal Medicine |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliations
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
- Providence Mission HospitalMission Viejo, CA
Industry payments (Open Payments)
- 2025$529.49 · 17 payments from 10 companies
- 2024$147.60 · 7 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $133.82 | 5 |
| Abiomed | $101.95 | 1 |
| Ani Pharmaceuticals, Inc. | $57.43 | 2 |
| Insmed, Inc. | $53.26 | 3 |
| Stryker Corporation | $52.88 | 1 |
What the 2025 payments were for
- Food and Beverage$529.49 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pulmonologists in Mission Viejo
- 1255795076
- 1609920008