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DR. FERDINAND C MARTINEZ M.D.
NPI 1194911107
Surgery in Morgantown, WV

Active since September 24, 2007PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3000 MON HEALTH MEDICAL PARK DR STE 3201, MORGANTOWN, WV 26505(304) 285-1460(304) 285-2739 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2020, Apr 1, 2019, Dec 14, 2016 (3 updates tracked since 2016).

About Dr. Ferdinand C Martinez M.d. NPPES

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

DR. FERDINAND C MARTINEZ M.D. (NPI 1194911107) is an individual surgery provider in Morgantown, West Virginia, licensed in West Virginia (26059) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1194911107
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. FERDINAND C MARTINEZCredential: M.D.
Location Address3000 MON HEALTH MEDICAL PARK DR STE 3201Morgantown, WV 26505-1170
Mailing Address3000 Mon Health Medical Park Dr Ste 3201Morgantown, WV 26505-1170 · (304) 285-1460 · Fax (304) 285-2739
Phone(304) 285-1460
Fax(304) 285-2739
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 24, 2007
Last NPPES UpdateSeptember 24, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1194911107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WV · 26059✔ Licensed in PA · MD0431880
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3000 MON HEALTH MEDICAL PARK DR STE 3201, Morgantown, WV 26505
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Secondary Practice Location 1

Location 1600 Suncrest Town Centre DrMorgantown, WV 26505-1872 · Phone (304) 598-2200

Other Identifiers 2

OtherMD431880PA · Md431880
Other26059WV · Wv Board Of Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Ferdinand C 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 ID3678658382
PECOS Enrollment IDI20150108002488
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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
189 services61 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.
69 services32 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
66 services19 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
37 services19 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
29 services13 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
23 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Stonewall Jackson Memorial Hospital

Acute Care Hospitals · Weston, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510038
Location230 Hospital PlazaWeston, WV 26452 · Lewis County
Emergency services Birthing friendly

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
96%74 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
89%75 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%160 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
70%33 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%489 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
84%80 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%322 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%300 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
2%44 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 133 patients
Patients tobacco: 76% · 133 patients
8%26 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
7%322 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
65%68 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 80 patients
0%80 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
2%322 patients
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 3

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims130 services$18.90 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims670 services$0.10 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
2 suppliers11 claims125 services$22.26 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 4

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

ARCHANA VASUDEVAN MD
Internal Medicine (Infectious Disease)
3000 MON HEALTH MEDICAL PARK DR STE 3201
MORGANTOWN, WV 26505
Monongalia County (304) 285-1460
ABBY BROOKS OTR
Occupational Therapist
3000 MON HEALTH MEDICAL PARK DR STE 3201
MORGANTOWN, WV 26505
Monongalia County (304) 285-1460
MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Internal Medicine (Infectious Disease)
3000 MON HEALTH MEDICAL PARK DR STE 3201
MORGANTOWN, WV 26505
Monongalia County (304) 285-1460
LOWELL LAREW PA-C
Physician Assistant (Medical)
3000 MON HEALTH MEDICAL PARK DR STE 3201
MORGANTOWN, WV 26505
Monongalia County (304) 285-1460

Frequently Asked Questions

What is Ferdinand Martinez's NPI number?

The NPI number assigned to this healthcare provider is 1194911107, enumerated as an "individual" on September 24, 2007.

Where is the provider located?

The provider is located at 3000 MON HEALTH MEDICAL PARK DR STE 3201 MORGANTOWN, WV 26505 and the phone number is (304) 285-1460.

What is the provider's specialty?

Surgery with taxonomy code 208600000X.

What insurance does Ferdinand Martinez accept?

The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.

Is Ferdinand Martinez affiliated with any hospitals?

Ferdinand Martinez is affiliated with: MON HEALTH MEDICAL CENTER, STONEWALL JACKSON MEMORIAL HOSPITAL and PRESTON MEMORIAL HOSPITAL.