PEDRO O MARTINEZ-CLARK M.D.
NPI 1205933504
Internal Medicine - Interventional Cardiology in Miami, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
38.14/100
CMS Quality Rating
5040 NW 7TH STREET, SUITE 750, MIAMI, FL 33126(305) 587-1752(305) 397-2986 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2020, Dec 27, 2018, Dec 2, 2015 and 1 more (4 updates tracked since 2015).

About Pedro O Martinez-clark M.d. NPPES

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

PEDRO O MARTINEZ-CLARK M.D. (NPI 1205933504) is an individual interventional cardiology provider in Miami, Florida, licensed in Florida (ME97003) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205933504
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePEDRO O MARTINEZ-CLARKCredential: M.D.
Location Address5040 NW 7TH STREET, SUITE 750Miami, FL 33126-3490
Mailing Address5040 Nw 7th St Ste 750Miami, FL 33126-3490 · (305) 301-7169 · Fax (305) 397-2986
Fax(305) 397-2986
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 7, 20204 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
NPI 1205933504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in FL · ME97003
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
5040 NW 7TH STREET, Miami, FL 33126

Secondary Practice Locations 3

Location 1100 NW 170th St Ste 305North Miami Beach, FL 33169-5511 · Phone (305) 249-5666 · Fax (305) 397-2986
Location 21321 NW 14th St Ste 603Miami, FL 33125-1659 · Phone (305) 545-5465 · Fax (305) 545-5535
Location 33801 Biscayne Blvd Ste 110Miami, FL 33137-9800 · Phone (305) 301-7169 · Fax (305) 545-5535

Other Identifiers 1

Medicaid2809745-00FL

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

Pedro O Martinez-clark 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 ID6507865581
PECOS Enrollment IDI20150415000242
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 36

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,346 services302 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.
382 services190 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
367 services359 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
282 services200 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
259 services54 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
247 services63 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

38.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40
Improvement Activities0
Cost40.48

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Interventional Cardiology)
5040 NW 7TH STREET, SUITE 750
MIAMI, FL 33126
Chiropractor
5040 NW 7TH STREET
MIAMI, FL 33126
Nurse Practitioner (Family)
5040 NW 7TH STREET, SUITE 370
MIAMI, FL 33126

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 Pedro Martinez-clark's NPI number?

The NPI number for Pedro Martinez-clark is 1205933504. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Pedro Martinez-clark located?

Pedro Martinez-clark practices at 5040 NW 7th Street Suite 750, Miami, FL 33126. The listed phone number is (305) 587-1752.

What is Pedro Martinez-clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Pedro Martinez-clark enrolled in Medicare?

Yes. Pedro Martinez-clark 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 Pedro Martinez-clark accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Pedro Martinez-clark 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 Pedro Martinez-clark affiliated with any hospitals?

According to CMS data, Pedro Martinez-clark is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Pedro Martinez-clark was last updated on July 7, 2020. 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.