MR. JOHN A MARTINI MD
NPI 1033119276
Family Medicine in Pleasant Prairie, WI
About Mr. John A Martini Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN A MARTINI MD (NPI 1033119276) is an individual family medicine provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (25991) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Medical College Of Wisconsin (1983).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Identifiers 1
Accepted 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
Mr. John A Martini 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Froedtert South Inc.
Acute Care Hospitals · Pleasant Prairie, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53158 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PLEASANT PRAIRIE, WI 53158
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 John Martini's NPI number?
The NPI number for John Martini is 1033119276. It was assigned to this individual provider in the NPPES registry on July 29, 2005.
Where is John Martini located?
John Martini practices at 9555 76th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 671-7050.
What is John Martini's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Martini enrolled in Medicare?
Yes. John Martini 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 John Martini accept?
Health plans from Network Health list John Martini 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 John Martini affiliated with any hospitals?
According to CMS data, John Martini is affiliated with Froedtert South Inc..
When was this NPI record last updated?
The NPPES record for John Martini was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
