JOHN RAY MARTINEZ M.D.
NPI 1154352417
Internal Medicine - Nephrology in Branson, MO

Q: What is John Martinez's NPI number?

The NPI number for John Martinez is 1154352417. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is John Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for John Martinez was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 05, 2006PECOS EnrolledAccepts Medicare Assignment

78.8/100

CMS Quality Rating

101 SKAGGS RD, SUITE 302, BRANSON, MO 65616(417) 334-8288(417) 334-6966 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About John Ray Martinez M.d. NPPES

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

JOHN RAY MARTINEZ M.D. (NPI 1154352417) is an individual nephrology provider in Branson, Missouri, licensed in Missouri (R2G43) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1985).

NPPES Registry Identity

NPI1154352417

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJOHN RAY MARTINEZCredential: M.D.

Location Address101 SKAGGS RD, SUITE 302Branson, MO 65616-2075

Mailing Address101 Skaggs Rd, Suite 302Branson, MO 65616-2075 · (417) 334-8288 · Fax (417) 334-6966

Phone(417) 334-8288

Fax(417) 334-6966

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1985

Enumeration DateJuly 5, 2006

Last NPPES UpdateOctober 17, 2019

✔ NPI 1154352417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MO · R2G43

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

101 SKAGGS RD, Branson, MO 65616

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Other Identifiers 5

Other175334MO · Blue Cross Missouri

Other390008665MO · Railroad Medicare

Medicaid130736001AR

Medicaid207953324MO

Other293593MO · Healthlink

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Cox HealthPlans, Health Advantage and more.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

John Ray 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.

PECOS PAC ID1759378094

PECOS Enrollment IDI20070720000263, I20100910001155

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.

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.

356 services246 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

352 services69 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

306 services33 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

198 services64 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

148 services71 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.

43 services33 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.

33 services31 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

32 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

31 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services17 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

15 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260094

Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65616 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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.

78.8/100

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

Individually scored

Quality

60.51

Improvement Activities

Cost

58.87

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%42 patients

Breast Cancer Screening

0%54 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%27 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

1%133 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

52%29 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

10%67 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

84%74 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%490 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%201 patients1/55-star benchmark: 100%

HIV Screening

0%72 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

41%273 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%263 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

7%69 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 13% · 266 patients

Patients screened: 14% · 266 patients

86%22 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

63%126 patients3/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers48 claims3,330 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier23 claims4,350 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers28 claims2,760 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers56 claims56 services$18.27 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers66 claims69 services$12.08 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 10

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

TANYA DIAN BOWDEN R.D.

Dietitian, Registered (Nutrition, Renal)

101 SKAGGS RD, SUITE 302
BRANSON, MO 65616

Taney County (417) 334-8288

DWIGHT PATRICK ZABEL M.D.

Internal Medicine (Nephrology)

101 SKAGGS RD, SUITE 302
BRANSON, MO 65616

Taney County (417) 334-8288

JAMES J CESAR DO

Clinic/Center

101 SKAGGS RD, SUITE 303
BRANSON, MO 65616

Taney County (417) 334-5171

BRANSON NEPHROLOGY LLC

Internal Medicine (Nephrology)

101 SKAGGS RD, SUITE 302
BRANSON, MO 65616

Taney County (417) 334-8288

SKAGGS COMMUNITY HOSPITAL ASSOCIATION

Internal Medicine

101 SKAGGS RD, STE 103
BRANSON, MO 65616

Taney County (417) 335-7792

PHYLLIS JOHNNA MANNA PA-C

Physician Assistant (Medical)

101 SKAGGS RD, SUITE 302
BRANSON, MO 65616

Taney County (417) 334-8288

KIMBERLY RENE MARTINEZ MD

Ophthalmology

101 SKAGGS RD, SUITE 302
BRANSON, MO 65616

Taney County (417) 334-8288

KAYLIN SUE HUNZICKER

Physician Assistant (Medical)

101 SKAGGS RD
BRANSON, MO 65616

Taney County (417) 269-5239

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 1154352417. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is John Martinez located?

John Martinez practices at 101 Skaggs Rd Suite 302, Branson, MO 65616. The listed phone number is (417) 334-8288.

What is John Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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 Arkansas Blue Cross and Blue Shield, Cox HealthPlans, Health Advantage, Octave and UnitedHealthcare 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 Cox Medical Centers, Mercy Hospital Springfield and Cox Medical Center Branson.

When was this NPI record last updated?

The NPPES record for John Martinez was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.