DR. JOHN D MARTINEZ MD
NPI 1043224207
Internal Medicine - Allergy & Immunology in Kansas City, KS

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 588-6009(913) 588-8182 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John D Martinez Md NPPES

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

DR. JOHN D MARTINEZ MD (NPI 1043224207) is an individual allergy & immunology provider in Kansas City, Kansas, licensed in Kansas (04-17288) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1974).

NPPES Registry Identity

NPI1043224207
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameDR. JOHN D MARTINEZCredential: MD
Location Address3901 RAINBOW BLVDKansas City, KS 66160
Mailing Address3901 Rainbow BlvdKansas City, KS 66160 · (913) 588-6009 · Fax (913) 588-8182
Fax(913) 588-8182
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1974
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 19, 2014
NPI 1043224207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License Licensed in KS · 04-17288
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Also ListedSpecialistTaxonomy 174400000X · License 04-17288 (KS)
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 04-17288 (KS)
3901 RAINBOW BLVD, Kansas City, KS 66160

Other Identifiers 6

Medicaid100128060CKS
Medicaid100128060AKS
Medicare PIN106829KS
Medicare UPIND17426KS
Medicare ID-Type Unspecified019431KS · Topeka Office
Medicare ID-Type Unspecified021360KS · Lawrence Office

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

Dr. John D 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 ID1052368586
PECOS Enrollment IDI20050406000527
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.

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.
123 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services40 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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
3 suppliers22 claims85 services$17.43 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers20 claims5,840 services$9.47 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
3 suppliers22 claims85 services$2.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Speech-Language Pathologist
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Practitioner (Primary Care)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Psychologist (Counseling)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Family Medicine
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
General Practice
3901 RAINBOW BLVD
KANSAS CITY, KS 66160

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 Martinez's NPI number?

The NPI number for John Martinez is 1043224207. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is John Martinez located?

John Martinez practices at 3901 Rainbow Blvd, Kansas City, KS 66160. The listed phone number is (913) 588-6009.

What is John Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is John Martinez enrolled in Medicare?

Yes. John 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.

What insurance does John Martinez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list John 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.

Is John Martinez affiliated with any hospitals?

According to CMS data, John Martinez is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for John Martinez was last updated on November 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.