VIVIANA SANDRA MARTINEZ-BIANCHI MD
NPI 1194733980
Family Medicine in Durham, NC

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
4101 N ROXBORO ST, DURHAM, NC 27704(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Aug 30, 2022, Jul 21, 2022 (3 updates tracked since 2022).

About Viviana Sandra Martinez-bianchi Md NPPES

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

VIVIANA SANDRA MARTINEZ-BIANCHI MD (NPI 1194733980) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (2006-00407) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1194733980
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVIVIANA SANDRA MARTINEZ-BIANCHICredential: MD
Location Address4101 N ROXBORO STDurham, NC 27704-2121
Mailing Address4101 N Roxboro StDurham, NC 27704-2121 · (919) 684-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1194733980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2006-00407
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4101 N ROXBORO ST, Durham, NC 27704

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

Viviana Sandra Martinez-bianchi 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 ID7810910213
PECOS Enrollment IDI20061113000421
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 3

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.
30 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$55.48 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.53 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 20

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

Internal Medicine (Hematology & Oncology)
4101 N ROXBORO ST
DURHAM, NC 27704
Surgery (Surgical Oncology)
4101 N ROXBORO ST
DURHAM, NC 27704
Radiology (Diagnostic Radiology)
4101 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine (Gastroenterology)
4101 N ROXBORO ST
DURHAM, NC 27704
Pediatrics
4101 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant
4101 N ROXBORO ST
DURHAM, NC 27704
Pediatrics (Neonatal-Perinatal Medicine)
4101 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine (Pulmonary Disease)
4101 N ROXBORO ST
DURHAM, NC 27704

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 Viviana Martinez-bianchi's NPI number?

The NPI number for Viviana Martinez-bianchi is 1194733980. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Viviana Martinez-bianchi located?

Viviana Martinez-bianchi practices at 4101 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 684-8111.

What is Viviana Martinez-bianchi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Viviana Martinez-bianchi enrolled in Medicare?

Yes. Viviana Martinez-bianchi 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 Viviana Martinez-bianchi accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Viviana Martinez-bianchi 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 Viviana Martinez-bianchi affiliated with any hospitals?

According to CMS data, Viviana Martinez-bianchi is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Viviana Martinez-bianchi was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.