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JUAN J MARTIN MD
NPI 1265639777
Neurological Surgery in Houston, TX

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
11301 FALLBROOK DR, SUITE 120, HOUSTON, TX 77065(281) 653-2686(281) 653-2938 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2017, Jun 16, 2016 (2 updates tracked since 2016).

About Juan J Martin Md NPPES

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

JUAN J MARTIN MD (NPI 1265639777) is an individual neurological surgery provider in Houston, Texas, licensed in Texas (Q0504) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1265639777
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJUAN J MARTINCredential: MD
Location Address11301 FALLBROOK DR, SUITE 120Houston, TX 77065-4237
Mailing Address11301 Fallbrook Dr, Suite 120Houston, TX 77065-4237 · (281) 653-2686 · Fax (281) 653-2938
Phone(281) 653-2686
Fax(281) 653-2938
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 28, 2007
Last NPPES UpdateFebruary 13, 20172 updates tracked since enumeration
✔ NPI 1265639777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in TX · Q0504
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
11301 FALLBROOK DR, Houston, TX 77065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Juan J Martin 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 ID7810138153
PECOS Enrollment IDI20140908001079
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 7

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.

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.
41 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services22 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.
18 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
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.
13 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450638
Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77065 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%369 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%509 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%455 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
5%509 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%509 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%509 patients
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.

Other Providers at the Same Location NPPES 19

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

CYFAIR ORTHOPAEDICS & HAND CENTER PA
Orthopaedic Surgery
11301 FALLBROOK DR, SUITE 328
HOUSTON, TX 77065
Harris County (281) 890-5353
EBERECHUKWU UZOAMAKA AJUMOBI DNP FNP-C
Nurse Practitioner (Family)
11301 FALLBROOK DR
HOUSTON, TX 77065
Harris County (281) 897-9966
CYFAIR PSYCHOLOGICAL GROUP PLLC
Psychologist (Clinical)
11301 FALLBROOK DR, SUITE 102
HOUSTON, TX 77065
Harris County (281) 894-4500
DR. CLARISA YSELA GARCIA M.D.
Pediatrics (Pediatric Cardiology)
11301 FALLBROOK DR, SUITE 110
HOUSTON, TX 77065
Harris County (281) 661-8460
FRANK SIFUENTES M.D.
Family Medicine
11301 FALLBROOK DR, SUITE 202
HOUSTON, TX 77065
Harris County (281) 955-8803
DR. DENNIS M TOLAND M.D.
Internal Medicine
11301 FALLBROOK DR, SUITE 214
HOUSTON, TX 77065
Harris County (281) 955-0262
GASTROINTESTINAL DISEASE CENTER PA
Internal Medicine (Gastroenterology)
11301 FALLBROOK DR, SUITE 214
HOUSTON, TX 77065
Harris County (281) 955-0262
SONIA GUERRA RN
Dietitian, Registered (Nutrition, Metabolic)
11301 FALLBROOK DR, SUITE 304
HOUSTON, TX 77065
Harris County (832) 237-3500

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 Juan Martin's NPI number?

The NPI number for Juan Martin is 1265639777. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Juan Martin located?

Juan Martin practices at 11301 Fallbrook Dr Suite 120, Houston, TX 77065. The listed phone number is (281) 653-2686.

What is Juan Martin's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Juan Martin enrolled in Medicare?

Yes. Juan Martin 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 Juan Martin accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Juan Martin 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 Juan Martin affiliated with any hospitals?

According to CMS data, Juan Martin is affiliated with Hca Houston Healthcare Northwest, Hca Houston Healthcare Tomball and Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Juan Martin was last updated on February 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.