MARTIN FRANCO TOLENTINO MD
NPI 1225471394
Family Medicine in Sterling, VA

Q: What is Martin Franco Tolentino's NPI number?

The NPI number for Martin Franco Tolentino is 1225471394. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Martin Franco Tolentino's specialty?

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

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment

62.13/100

CMS Quality Rating

47100 COMMUNITY PLZ, SUITE 100, STERLING, VA 20164(703) 880-1403(703) 880-1404 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2018, Nov 15, 2016 (2 updates tracked since 2016).

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About Martin Franco Tolentino Md NPPES

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

MARTIN FRANCO TOLENTINO MD (NPI 1225471394) is an individual family medicine provider in Sterling, Virginia, licensed in Virginia (0101261140) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1225471394

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARTIN FRANCO TOLENTINOCredential: MD

Location Address47100 COMMUNITY PLZ, SUITE 100Sterling, VA 20164-1826

Mailing Address5000 Cox RdGlen Allen, VA 23060-9263

Phone(703) 880-1403

Fax(703) 880-1404

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 9, 2013

Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration

NPPES CertifiedMarch 31, 2022

✔ NPI 1225471394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101261140

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.

47100 COMMUNITY PLZ, Sterling, VA 20164

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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

Martin Franco Tolentino 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 ID8224272729

PECOS Enrollment IDI20161214000577

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 19

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 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.

195 services161 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.

118 services94 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

113 services99 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

98 services86 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

94 services90 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

75 services67 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

61 services58 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

55 services55 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

48 services42 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

48 services24 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

46 services46 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

43 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

40 services38 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

33 services33 patients

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.

33 services33 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

23 services21 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.

23 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20164 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

62.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

Improvement Activities

Cost

84.66

Other Providers at the Same Location NPPES 12

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

PATIENT FIRST RICHMOND MEDICAL GROUP PLLC

Clinic/Center (Urgent Care)

47100 COMMUNITY PLZ
STERLING, VA 20164

Loudoun County (703) 880-1403

MICHELLE LYNN HADINGER P.A.-C

Physician Assistant (Medical)

47100 COMMUNITY PLZ
STERLING, VA 20164

Loudoun County (703) 880-1403

SEPIDEH SARRESHTEH

Physician Assistant

47100 COMMUNITY PLZ
STERLING, VA 20164

Loudoun County (703) 880-1403

DR. NAIL M MIAKHEL M.D.

Family Medicine

47100 COMMUNITY PLZ
STERLING, VA 20164

Loudoun County (703) 880-1403

HAMID AHMADI AVIN DDS PC

Dentist (General Practice)

47100 COMMUNITY PLZ, SUITE 165
STERLING, VA 20164

Loudoun County (703) 444-5222

SUSAN MZAMO MPAS, PA - C

Physician Assistant (Medical)

47100 COMMUNITY PLZ
STERLING, VA 20164

Loudoun County (703) 880-1403

PATIENT FIRST RICHMOND MEDICAL GROUP

Non-Pharmacy Dispensing Site

47100 COMMUNITY PLZ
STERLING, VA 20164

Loudoun County (703) 880-1403

DR. KHODAIDAD H BASHARMAL M.D.

Internal Medicine

47100 COMMUNITY PLZ, SUITE 100
STERLING, VA 20164

Loudoun County (804) 968-5700

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 Martin Franco Tolentino's NPI number?

The NPI number for Martin Franco Tolentino is 1225471394. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Martin Franco Tolentino located?

Martin Franco Tolentino practices at 47100 Community Plz Suite 100, Sterling, VA 20164. The listed phone number is (703) 880-1403.

What is Martin Franco Tolentino's specialty?

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

Is Martin Franco Tolentino enrolled in Medicare?

Yes. Martin Franco Tolentino 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.

When was this NPI record last updated?

The NPPES record for Martin Franco Tolentino was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.