DR. BENJAMIN JAMES MARTINO M.D.
NPI 1114218195
Otolaryngology in Mckinney, TX

Q: What is Benjamin Martino's NPI number?

The NPI number for Benjamin Martino is 1114218195. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Q: What is Benjamin Martino's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Martino was last updated on November 2, 2016. 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.

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5220 W UNIVERSITY DR, SUITE #150, MCKINNEY, TX 75071(972) 984-1050(972) 984-1376 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Benjamin James Martino M.d. NPPES

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

DR. BENJAMIN JAMES MARTINO M.D. (NPI 1114218195) is an individual otolaryngology provider in Mckinney, Texas, licensed in Texas (Q8748) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Mckinney, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2011).

NPPES Registry Identity

NPI1114218195

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. BENJAMIN JAMES MARTINOCredential: M.D.

Location Address5220 W UNIVERSITY DR, SUITE #150Mckinney, TX 75071-7064

Mailing Address5220 W University Dr, Suite #150Mckinney, TX 75071-7064 · (972) 984-1050 · Fax (972) 984-1376

Phone(972) 984-1050

Fax(972) 984-1376

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2011

Enumeration DateApril 26, 2011

Last NPPES UpdateNovember 2, 2016

✔ NPI 1114218195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · Q8748

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

5220 W UNIVERSITY DR, Mckinney, TX 75071

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.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

Dr. Benjamin James Martino 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.

PECOS PAC ID8921391376

PECOS Enrollment IDI20160722002387

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 Reassignment

Medicare enrollment records show Benjamin Martino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Ent & Allergy Centers Of Texas, PLLC

0.3 mi

Otolaryngology

5220 W UNIVERSITY DR STE 150
Mckinney, TX 75071

Reassigned Medicare billing, Texas enrollment
52 clinicians in this Medicare group

NPI 1144470873 (972) 984-1050

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 15

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

230 services15 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.

215 services150 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

159 services30 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.

120 services120 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

101 services73 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

77 services16 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

74 services73 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

50 services47 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.

44 services42 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

43 services42 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

39 services32 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

17 services11 patients

Fine needle aspiration biopsy using ultrasound guidance, each additional growth 10006

A fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is used to collect cells from a growth. Ultrasound helps accurately locate the growth. If there's more than one growth, each one is biopsied separately.

16 services16 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

15 services14 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670082

Location5252 West University DriveMc Kinney, TX 75071 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

75/100

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

Individually scored

Other Providers at the Same Location NPPES 6

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

SHAHRAM SHAWN YARI

Orthopaedic Surgery (Hand Surgery)

5220 W UNIVERSITY DR
MCKINNEY, TX 75071

Collin County (469) 800-7200

ALLISON MCKENZIE HARRIS AUD

Audiologist

5220 W UNIVERSITY DR, SUITE 150
MCKINNEY, TX 75071

Collin County (972) 984-1050

DR. EITAN M. INGALL M.D.

Orthopaedic Surgery

5220 W UNIVERSITY DR, SUITE 300
MCKINNEY, TX 75071

Collin County (469) 800-7200

DR. AMBER ARTHUR MEALEY AU.D

Audiologist

5220 W UNIVERSITY DR, STE 150
MCKINNEY, TX 75071

Collin County (972) 984-1050

JANE EUN LEE MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

5220 W UNIVERSITY DR
MCKINNEY, TX 75071

Collin County (469) 800-5400

KATHERINE MAE POQUIZ JOSE D.O., MBA

Family Medicine

5220 W UNIVERSITY DR, SUITE 100
MCKINNEY, TX 75071

Collin County (469) 800-5100

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 Benjamin Martino's NPI number?

The NPI number for Benjamin Martino is 1114218195. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Benjamin Martino located?

Benjamin Martino practices at 5220 W University Dr Suite #150, Mckinney, TX 75071. The listed phone number is (972) 984-1050.

What is Benjamin Martino's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Benjamin Martino enrolled in Medicare?

Yes. Benjamin Martino 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 organization bills Medicare for Benjamin Martino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Martino reassigns Medicare benefits to The Ent & Allergy Centers Of Texas, PLLC (Mckinney, TX). The 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 Benjamin Martino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Martino accept?

Health plans from Baylor Scott and White Health Plan list Benjamin Martino 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 Benjamin Martino affiliated with any hospitals?

According to CMS data, Benjamin Martino is affiliated with Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Benjamin Martino was last updated on November 2, 2016. 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.