Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since September 20, 2006PECOS Enrolled
38.14/100
CMS Quality Rating
100 NW 170TH ST STE 305, NORTH MIAMI BEACH, FL 33169(305) 249-5666(866) 397-9443 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 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 North Miami Beach, 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 a secondary practice location in Miami.

NPPES Registry Identity

NPI1205933504
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePEDRO O MARTINEZ-CLARKCredential: M.D.
Location Address100 NW 170TH ST STE 305North Miami Beach, FL 33169-5511
Mailing Address100 Nw 170th St Ste 305North Miami Beach, FL 33169-5511 · (305) 249-5666 · Fax (866) 397-9443
Fax(866) 397-9443
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 21, 20264 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ 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.
100 NW 170TH ST STE 305, North Miami Beach, FL 33169

Secondary Practice Location 1

Location 19408 SW 87th Ave Ste 302-303Miami, FL 33176-2407 · Phone (305) 249-5666 · Fax (866) 397-9443

Other Identifiers 1

Medicaid2809745-00FL

Accepted 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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Pedro Martinez-clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
4300 ALTON RD, SUITE 2070
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
Interventional Cardiology
5040 NW 7TH STREET, SUITE 750
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
Clinic/Center
5901 SW 74TH ST STE 400
Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group

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 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 33169 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 2

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

Family Medicine
100 NW 170TH ST STE 305
NORTH MIAMI BEACH, FL 33169
Clinic/Center (Medical Specialty)
100 NW 170TH ST STE 305
N MIAMI BEACH, FL 33169

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 100 NW 170th St Ste 305, North Miami Beach, FL 33169. The listed phone number is (305) 249-5666.

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.

Which organizations bill Medicare for Pedro Martinez-clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Martinez-clark reassigns Medicare benefits to 3 organizations: Richard Arnold Berger MD Corp (Miami Beach, FL), Pedro Martinez-Clark MD PA (Miami, FL) and Itera Health Corp (Miami, FL). Each 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 Pedro Martinez-clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Martinez-clark accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 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 October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.