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

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: October 25, 2026.

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
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

Other Identifiers 3

Medicaid00G484830CA
Medicare PIN00G484830CA
Medicare UPINA51074CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joseph Martel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
11216 TRINITY RIVER DR
Rancho Cordova, CA 95670
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Joseph R Martel MD Inc
  • 3 clinicians in this Medicare group
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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
Quality100
Improvement Activities40
Cost100

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.

Clinic/Center (Ambulatory Surgical)
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670
Ophthalmology
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670
Anesthesiology
11216 TRINITY RIVER DR, #G
RANCHO CORDOVA, CA 95670
Nurse Anesthetist, Certified Registered
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670
Clinic/Center (Ambulatory Surgical)
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670
Ophthalmology
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670
Ophthalmology
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670
Ophthalmology
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

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.

Which organizations bill Medicare for Joseph Martel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Martel reassigns Medicare benefits to 2 organizations: Joseph R. Martel, M.D. Inc (Rancho Cordova, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Martel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.