JOSEPH R MARTEL MD
NPI 1063439776
Ophthalmology in Rancho Cordova, CA

Q: What is Joseph Martel's NPI number?

The NPI number for Joseph Martel is 1063439776. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Joseph Martel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Martel was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 17, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

11216 TRINITY RIVER DR, RANCHO CORDOVA, CA 95670(916) 635-6161(916) 631-3788 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Joseph R Martel Md NPPES

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

JOSEPH R MARTEL MD (NPI 1063439776) is an individual ophthalmology provider in Rancho Cordova, California, licensed in California (G48483) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1978).

NPPES Registry Identity

NPI1063439776

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJOSEPH R MARTELCredential: MD

Location Address11216 TRINITY RIVER DRRancho Cordova, CA 95670-2961

Mailing Address11216 Trinity River DrRancho Cordova, CA 95670-2961 · (916) 635-6161 · Fax (916) 631-3788

Phone(916) 635-6161

Fax(916) 631-3788

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1978

Enumeration DateJuly 17, 2006

Last NPPES UpdateDecember 5, 2011

✔ NPI 1063439776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · G48483

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

11216 TRINITY RIVER DR, Rancho Cordova, CA 95670

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Other Identifiers 3

Medicaid00G484830CA

Medicare PIN00G484830CA

Medicare UPINA51074CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Providence Health Plan.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

Joseph R Martel 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 ID3870521933

PECOS Enrollment IDI20090312000044

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 13

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.

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

231 services197 patients

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.

227 services204 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

211 services193 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

178 services159 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

137 services130 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

102 services86 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.

96 services95 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

69 services69 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

54 services54 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

50 services50 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

33 services33 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

31 services29 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.

20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95670 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 15

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

JOSEPH R MARTEL MD INC

Clinic/Center (Ambulatory Surgical)

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

LILIYA GOLAS MD INC

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

CHARLES B ROLAND MD PROFESSIONAL CORPORATION

Anesthesiology

11216 TRINITY RIVER DR, #G
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

MRS. TERESITA ALVIAR OANDASAN CRNA

Nurse Anesthetist, Certified Registered

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 759-9191

MARTEL EYE INSTITUTE LLC

Clinic/Center (Ambulatory Surgical)

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 631-7868

LILIYA GOLAS MD

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

LEADING MEDICAL TECHNOLOGIES, INC.

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

JAMES B MARTEL MD, INC.

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

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 Joseph Martel's NPI number?

The NPI number for Joseph Martel is 1063439776. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Joseph Martel located?

Joseph Martel practices at 11216 Trinity River Dr, Rancho Cordova, CA 95670. The listed phone number is (916) 635-6161.

What is Joseph Martel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Martel enrolled in Medicare?

Yes. Joseph Martel 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 Joseph Martel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Joseph Martel 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.

When was this NPI record last updated?

The NPPES record for Joseph Martel was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.