DR. NILSA MILAGROS MARTINEZ MD
NPI 1215929187
Family Medicine in Hilton, NY

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
279 EAST AVE, HILTON, NY 14468(585) 392-9100(585) 392-6292 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nilsa Milagros Martinez Md NPPES

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

DR. NILSA MILAGROS MARTINEZ MD (NPI 1215929187) is an individual family medicine provider in Hilton, New York, licensed in New York (202674) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Boston University School Of Medicine (1994).

NPPES Registry Identity

NPI1215929187
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NILSA MILAGROS MARTINEZCredential: MD
Location Address279 EAST AVEHilton, NY 14468-1333
Mailing Address279 East AveHilton, NY 14468-1333 · (585) 392-9100 · Fax (585) 392-6292
Fax(585) 392-6292
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1994
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 19, 2019
NPI 1215929187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 202674
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.
279 EAST AVE, Hilton, NY 14468

Other Identifiers 6

Other115976BFNY · Preferred Care
Other000525840005NY · Community Blue / Wny Bcbs
Other5923565NY · Aetna
Medicaid01770685NY
OtherP020202674NY · Blue Cross Blue Shield
OtherP010202674NY · Blue Choice

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. Nilsa Milagros Martinez 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 ID6204809601
PECOS Enrollment IDI20040814000017
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 2

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.
119 services45 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14468 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
77%84 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%109 patients4/55-star benchmark: 100%
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims25 services$5.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims78 services$1.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.52 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 9

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

Family Medicine
279 EAST AVE, HILTON HEALTH CARE, P.C.
HILTON, NY 14468
Family Medicine
279 EAST AVE
HILTON, NY 14468
Physician Assistant
279 EAST AVE
HILTON, NY 14468
Physician Assistant
279 EAST AVE
HILTON, NY 14468
Family Medicine
279 EAST AVE, HILTON HEALTH CARE, P.C.
HILTON, NY 14468
Family Medicine
279 EAST AVE
HILTON, NY 14468
Nurse Practitioner (Family)
279 EAST AVE
HILTON, NY 14468
Physician Assistant (Medical)
279 EAST AVE
HILTON, NY 14468

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 Nilsa Martinez's NPI number?

The NPI number for Nilsa Martinez is 1215929187. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Nilsa Martinez located?

Nilsa Martinez practices at 279 East Ave, Hilton, NY 14468. The listed phone number is (585) 392-9100.

What is Nilsa Martinez's specialty?

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

Is Nilsa Martinez enrolled in Medicare?

Yes. Nilsa 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.

Is Nilsa Martinez affiliated with any hospitals?

According to CMS data, Nilsa Martinez is affiliated with Rochester General Hospital, Unity Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nilsa Martinez was last updated on June 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.