Individual provider Active NPI

Marshall Gillette, M.D.

  • Orthopaedic Trauma Physician
  • Edinburg, TX
National Provider Identifier
1790172211
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
T2382 Issued in TX
Practice address
5423 S McColl Rd
Edinburg, TX 78539-9183
Phone
(956) 362-7080
Fax
(956) 362-7094
NPI assigned
Apr 22, 2015
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X T2382 TX Primary

Addresses

Primary practice location

5423 S McColl Rd
Edinburg, TX 78539-9183

Mailing address

PO Box 4624
McAllen, TX 78502-4624
Phone (956) 362-7080

Other identifiers 1

IdentifierTypeStateIssuer
T2382OtherTXTEXAS MEDICAL BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200807001143 MS Practitioner - Orthopedic Surgery 0446554711 Reassigns benefits to 1 organization
I20210722003450 TX Practitioner - Orthopedic Surgery 0446554711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance ProvidersGroup PAC ID 3476877879, 26 clinicians

Practice addresses (Care Compare)

5423 S McColl Rd
Edinburg, TX 78539-9183
Phone (956) 362-7080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.39 of 100Reported as group
Quality
68.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 27, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 27, 2020 Accepting new patients
Renaissance Providers Orthopaedic Trauma CurrentSince Jul 31, 2021 Accepting new patients

Locations

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
#4200
Jackson, MS 39216

5423 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3575

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5540 Raphael Dr
Edinburg, TX 78539
Phone (956) 362-6683

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1790172211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-362-7080",
            "fax_number": "956-362-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399183",
            "telephone_number": "956-362-7080",
            "fax_number": "956-362-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "MARSHALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": "T2382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD LICENSE",
            "identifier": "T2382",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.