CARLOS LUIS MARTINEZ M.D
NPI 1013380609
Obstetrics & Gynecology in Miami, FL

Q: What is Carlos Martinez's NPI number?

The NPI number for Carlos Martinez is 1013380609. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Q: What is Carlos Martinez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Martinez was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 04, 2015PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

8200 SW 117TH AVE STE 304, MIAMI, FL 33183(305) 204-1201 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2021, Feb 2, 2021, Sep 17, 2019 (3 updates tracked since 2019).

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About Carlos Luis Martinez M.d NPPES

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

CARLOS LUIS MARTINEZ M.D (NPI 1013380609) is an individual obstetrics & gynecology provider in Miami, Florida, licensed in Florida (ME150252) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1013380609

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameCARLOS LUIS MARTINEZCredential: M.D

Location Address8200 SW 117TH AVE STE 304Miami, FL 33183-4826

Mailing Address1461 Shore Pkwy Apt 7cBrooklyn, NY 11214-6126

Phone(305) 204-1201

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 4, 2015

Last NPPES UpdateApril 30, 20213 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1013380609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME150252

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

Also ListedGeneral Acute Care Hospital · WomenTaxonomy 282NW0100X

8200 SW 117TH AVE STE 304, Miami, FL 33183

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Carlos Luis Martinez M.d 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 ID7113264581

PECOS Enrollment IDI20210810000475

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

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.

89.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.86

Promoting Interoperability

100

Improvement Activities

Cost

67.71

Reported Quality Measures

Breast Cancer Screening

79%123 patients4/55-star benchmark: 93%

Cervical Cancer Screening

94%1,060 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

25%187 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

38%211 patients2/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

83%2,250 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

34%710 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 48% · 1,054 patients

Patients screened: 49% · 1,054 patients

23%22 patients1/55-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.

Other Providers at the Same Location NPPES 13

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

NICOLA HENDRICKS MD

Obstetrics & Gynecology