DR. NILSA MILAGROS MARTINEZ MD
NPI 1215929187
Family Medicine in Hilton, NY
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
Specialties & Licenses
Other Identifiers 6
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Nilsa Martinez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14612
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Western New York Medical Practice PC
- 1,030 clinicians in this Medicare group
Rochester, NY 14626
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
North Chili, NY 14514
- Reassigned Medicare billing, New York enrollment
- 13 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rochester General Hospital
Acute Care Hospitals · Rochester, NYStrong Memorial Hospital
Acute Care Hospitals · Rochester, NYPhysician 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.
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.
Reported Quality Measures
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.
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.
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.
Which organizations bill Medicare for Nilsa Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilsa Martinez reassigns Medicare benefits to 3 organizations: Western New York Medical Practice P.C (Rochester, NY), Rochester General Hospital (Rochester, NY) and Churchville-Chili Family Medicine, LLC (North Chili, NY). 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 Nilsa Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nilsa Martinez affiliated with any hospitals?
According to CMS data, Nilsa Martinez is affiliated with Rochester General 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Nilsa Milagros Martinez, MD · NPI 1215929187
Family Medicine physician in Hilton, New York. Individual provider, active in the CMS NPPES registry since August 17, 2005.
## Identity
- **NPI:** 1215929187 (Entity type: Individual)
- **Enumerated:** August 17, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 202674 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 279 EAST AVE, Hilton, NY 14468-1333
- **Phone:** (585) 392-9100 · **Fax:** (585) 392-6292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Western New York Medical Practice P.C (NPI 1154834877, Rochester, NY); Rochester General Hospital (NPI 1356412712, Rochester, NY); Churchville-Chili Family Medicine, LLC (NPI 1326231291, North Chili, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** June 19, 2019
- **Other identifiers:** Other 115976BF (NY); Other 000525840005 (NY); Other 5923565 (NY); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1215929187) · Data from the CMS NPPES public registry.