MR. LUIS BENIGNO MARTINEZ III
NPI 1003538851
Nurse Practitioner - Family in Covington, LA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since September 16, 2022PECOS EnrolledAccepts Medicare Assignment

1850 N HIGHWAY 190, COVINGTON, LA 70433(985) 809-1515 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2022, Sep 16, 2022 (2 updates tracked since 2022).

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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

NPI1003538851

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. LUIS BENIGNO MARTINEZ III

Location Address1850 N HIGHWAY 190Covington, LA 70433-5157

Mailing Address1850 N Highway 190Covington, LA 70433-5157 · (985) 607-4357

Phone(985) 809-1515

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 16, 2022

Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration

NPPES CertifiedDecember 15, 2022

✔ NPI 1003538851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in LA · 226932✔ Licensed in AZ · 280972

1850 N HIGHWAY 190, Covington, LA 70433

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Secondary Practice Location 1

Location 1553 Waverly DrSlidell, LA 70461-4175 · Phone (985) 607-4357

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

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.

PECOS PAC ID9436520608

PECOS Enrollment IDI20230126000368

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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

45 services20 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

30 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 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.

20 services20 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.

14 services14 patients

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.

12 services11 patients

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.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

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.

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