DR. DEREK MARTINEZ M.D.
NPI 1043506942
Neurological Surgery in Peoria, IL
About Dr. Derek Martinez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK MARTINEZ M.D. (NPI 1043506942) is an individual neurological surgery provider in Peoria, Illinois, licensed in Illinois (125060255) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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. Derek 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.
Areas of Expertise CMS Part B claims 7
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDSt Luke's Elmore Medical Center
Critical Access Hospitals · Mountain Home, IDSt Luke's Mccall
Critical Access Hospitals · Mccall, IDSt Luke's Wood River Medical Center
Critical Access Hospitals · Ketchum, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 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.
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.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Derek Martinez's NPI number?
The NPI number for Derek Martinez is 1043506942. It was assigned to this individual provider in the NPPES registry on June 20, 2011.
Where is Derek Martinez located?
Derek Martinez practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2642.
What is Derek Martinez's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Derek Martinez enrolled in Medicare?
Yes. Derek 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 Derek Martinez accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Derek 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 Derek Martinez affiliated with any hospitals?
According to CMS data, Derek Martinez is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center, St Luke's Elmore Medical Center, St Luke's Mccall and St Luke's Wood River Medical Center.
When was this NPI record last updated?
The NPPES record for Derek Martinez was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.