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RICARDO MARTINEZ MD
NPI 1003128828
Internal Medicine in Naples, FL

Active since July 09, 2010PECOS EnrolledAccepts Medicare Assignment
94.77/100
CMS Quality Rating
851 5TH AVE N STE 102, NAPLES, FL 34102(239) 315-7801(855) 888-3291 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2023, Aug 24, 2020, Dec 31, 2018 (3 updates tracked since 2018).

About Ricardo Martinez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO MARTINEZ MD (NPI 1003128828) is an individual internal medicine provider in Naples, Florida, licensed in Florida (ME115110) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1003128828
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICARDO MARTINEZCredential: MD
Location Address851 5TH AVE N STE 102Naples, FL 34102-5582
Mailing Address851 5th Ave N Ste 102Naples, FL 34102-5582 · (239) 315-7801 · Fax (855) 888-3291
Phone(239) 315-7801
Fax(855) 888-3291
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 9, 2010
Last NPPES UpdateFebruary 17, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1003128828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME115110
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
851 5TH AVE N STE 102, Naples, FL 34102
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Other Identifiers 3

OtherL1428FL · Medicare
Medicaid104729800FL
Medicaid207RA0401XFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Martinez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264673532
PECOS Enrollment IDI20130729000918
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
560 services229 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
268 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
41 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.5
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
57%360 patients3/55-star benchmark: 93%
Cervical Cancer Screening
48%386 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
50%52 patients
Closing the Referral Loop: Receipt of Specialist Report
27%448 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
62%541 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
13%157 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%157 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%4,645 patients4/55-star benchmark: 100%
e-Prescribing
98%1,528 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
23%656 patients1/55-star benchmark: 100%
HIV Screening
18%828 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
61%1,428 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
24%1,137 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%2,265 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 44% · 1,119 patients
Patients screened: 46% · 1,119 patients
53%49 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%517 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
66%812 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 658 patients
Patients totalRate: 10% · 688 patients
10%688 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers26 claims90 services$6.30 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers16 claims16 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims30 services$1.22 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers40 claims40 services$188.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELL-BEING MEDICAL CENTER PLLC
Internal Medicine
851 5TH AVE N STE 102
NAPLES, FL 34102
Collier County (239) 315-7801
MRS. MARY ANN RAUSCH APRN, FNP-C
Nurse Practitioner (Family)
851 5TH AVE N STE 102
NAPLES, FL 34102
Collier County (239) 315-7801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Martinez's NPI number?

The NPI number for Ricardo Martinez is 1003128828. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Where is Ricardo Martinez located?

Ricardo Martinez practices at 851 5th Ave N Ste 102, Naples, FL 34102. The listed phone number is (239) 315-7801.

What is Ricardo Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ricardo Martinez enrolled in Medicare?

Yes. Ricardo Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ricardo Martinez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Wellpoint list Ricardo Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ricardo Martinez affiliated with any hospitals?

According to CMS data, Ricardo Martinez is affiliated with Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Ricardo Martinez was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.