MR. LUIS BENIGNO MARTINEZ III
NPI 1003538851
Nurse Practitioner - Family in Covington, LA
About Mr. Luis Benigno Martinez Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LUIS BENIGNO MARTINEZ III (NPI 1003538851) is an individual family provider in Covington, Louisiana, licensed in Louisiana (226932) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Slidell, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Luis Benigno Martinez Iii 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.
Medicare Billing Reassignments
4Medicare enrollment records show Luis Martinez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 36 clinicians in this Medicare group
Metairie, LA 70001
- Reassigned Medicare billing, Louisiana enrollment
- 27 clinicians in this Medicare group
New Orleans, LA 70125
- Reassigned Medicare billing, Louisiana enrollment
- 51 clinicians in this Medicare group
Lafayette, LA 70503
- Reassigned Medicare billing, Louisiana enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COVINGTON, LA 70433
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 Luis Martinez's NPI number?
The NPI number for Luis Martinez is 1003538851. It was assigned to this individual provider in the NPPES registry on September 16, 2022.
Where is Luis Martinez located?
Luis Martinez practices at 1850 N Highway 190, Covington, LA 70433. The listed phone number is (985) 809-1515.
What is Luis Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Luis Martinez enrolled in Medicare?
Yes. Luis 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.
Which organizations bill Medicare for Luis Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luis Martinez reassigns Medicare benefits to 4 organizations: In And Out Urgent Care Covington, LLC (Covington, LA), In And Out Urgent Care Of Metairie, LLC (Metairie, LA), In And Out Urgent Care, LLC (New Orleans, LA) and Louisiana Gastroenterology Associates LLC (Lafayette, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luis Martinez accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan list Luis 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.
When was this NPI record last updated?
The NPPES record for Luis Martinez was last updated on December 15, 2022. 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.
# Mr. Luis Benigno Martinez III · NPI 1003538851
Family physician in Covington, Louisiana. Individual provider, active in the CMS NPPES registry since September 16, 2022.
## Identity
- **NPI:** 1003538851 (Entity type: Individual)
- **Enumerated:** September 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 226932 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1850 N HIGHWAY 190, Covington, LA 70433-5157
- **Phone:** (985) 809-1515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): In And Out Urgent Care Covington, LLC (NPI 1366926040, Covington, LA); In And Out Urgent Care Of Metairie, LLC (NPI 1508396581, Metairie, LA); In And Out Urgent Care, LLC (NPI 1851725154, New Orleans, LA); Louisiana Gastroenterology Associates LLC (NPI 1366195091, Lafayette, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003538851) · Data from the CMS NPPES public registry.