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CARLOS O. MARTINEZ MD
NPI 1023097706
Emergency Medicine in Hinsdale, IL

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
120 N OAK ST, HINSDALE, IL 60521(630) 856-6782 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos O. Martinez Md NPPES

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

CARLOS O. MARTINEZ MD (NPI 1023097706) is an individual emergency medicine provider in Hinsdale, Illinois, licensed in Florida (ME79771) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1997).

NPPES Registry Identity

NPI1023097706
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLOS O. MARTINEZCredential: MD
Location Address120 N OAK STHinsdale, IL 60521-3829
Mailing Address4325 Roslyn RdDowners Grove, IL 60515-5805 · (630) 964-5856
Phone(630) 856-6782
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1997
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023097706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME79771
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
120 N OAK ST, Hinsdale, IL 60521
Open in Google Maps ↗

Other Identifiers 7

Other35244FL · Bcbs
Medicare ID-Type Unspecified35244WFL
Medicare ID-Type Unspecified35244YFL
Medicare UPINH14957
Medicare ID-Type Unspecified35244VFL
Medicare ID-Type Unspecified35244ZFL
Medicare ID-Type Unspecified35244XFL

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 O. 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 ID1153398102
PECOS Enrollment IDI20040910000631
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
332 services323 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services73 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140292
Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

DU PAGE PATHOLOGY ASSOCIATES SC
Pathology (Anatomic Pathology & Clinical Pathology)
120 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-9000
KEITH KEY LEE DO
Anesthesiology (Pediatric Anesthesiology)
120 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-9000
ROLAND E. LONSER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
120 N OAK ST, HINSDALE HOSPITAL / PATHOLOGY DEP
HINSDALE, IL 60521
Dupage County (630) 856-7850
AGNIESZKA U. PIOTROWSKI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
120 N OAK ST, HINSALE HOSPITAL / PATHOLOGY DEPAR
HINSDALE, IL 60521
Dupage County (630) 856-8750
DAVID BERGQUIST M.D
Anesthesiology
120 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-9000
YEHUDA LEOR BROMBERG NP
Nurse Practitioner
120 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-6700
ESHPREET KULAR RN
Registered Nurse
120 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-9000
DANIEL WATTS CRNA
Nurse Anesthetist, Certified Registered
120 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-9000

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 Carlos Martinez's NPI number?

The NPI number for Carlos Martinez is 1023097706. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Carlos Martinez located?

Carlos Martinez practices at 120 N Oak St, Hinsdale, IL 60521. The listed phone number is (630) 856-6782.

What is Carlos Martinez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlos Martinez enrolled in Medicare?

Yes. Carlos 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.

Is Carlos Martinez affiliated with any hospitals?

According to CMS data, Carlos Martinez is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Uchicago Medicine Adventhealth Glenoaks and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Carlos Martinez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.