JUAN CARLOS MARTINEZ GUTIERREZ M.D.
NPI 1275985533
Psychiatry & Neurology - Neurology in Roswell, GA

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
2500 HOSPITAL BLVD STE 310, ROSWELL, GA 30076(770) 664-9600(770) 664-9856 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2023, Apr 15, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2016).

About Juan Carlos Martinez Gutierrez M.d. NPPES

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

JUAN CARLOS MARTINEZ GUTIERREZ M.D. (NPI 1275985533) is an individual neurology provider in Roswell, Georgia, licensed in Georgia (96832) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1275985533
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJUAN CARLOS MARTINEZ GUTIERREZCredential: M.D.
Location Address2500 HOSPITAL BLVD STE 310Roswell, GA 30076-4947
Mailing Address2500 Hospital Blvd Ste 310Roswell, GA 30076-4947 · (770) 664-9600 · Fax (770) 664-9856
Fax(770) 664-9856
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 11, 2016
Last NPPES UpdateDecember 14, 20234 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
NPI 1275985533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in GA · 96832 Licensed in TX · S9028
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 268195 (MA)
2500 HOSPITAL BLVD STE 310, Roswell, GA 30076

Secondary Practice Location 1

Location 16400 Fannin St Ste 2800Houston, TX 77030-1534 · Phone (713) 486-8000 · Fax (713) 486-8088

Accepted 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 Carlos Martinez Gutierrez 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 ID9234424474
PECOS Enrollment IDI20230914002757
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 6

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.

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
17 services12 patients
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226
This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
17 services13 patients
Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645
This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.
17 services17 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.
17 services17 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.
16 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
2500 HOSPITAL BLVD STE 310
ROSWELL, GA 30076
Nurse Practitioner (Acute Care)
2500 HOSPITAL BLVD STE 310
ROSWELL, GA 30076
Student in an Organized Health Care Education/Training Program
2500 HOSPITAL BLVD STE 310
ROSWELL, GA 30076
Psychiatry & Neurology (Neurology)
2500 HOSPITAL BLVD STE 310
ROSWELL, GA 30076
Neurological Surgery
2500 HOSPITAL BLVD STE 310
ROSWELL, GA 30076

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 Carlos Martinez Gutierrez's NPI number?

The NPI number for Juan Carlos Martinez Gutierrez is 1275985533. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Juan Carlos Martinez Gutierrez located?

Juan Carlos Martinez Gutierrez practices at 2500 Hospital Blvd Ste 310, Roswell, GA 30076. The listed phone number is (770) 664-9600.

What is Juan Carlos Martinez Gutierrez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Juan Carlos Martinez Gutierrez enrolled in Medicare?

Yes. Juan Carlos Martinez Gutierrez 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 Carlos Martinez Gutierrez accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Juan Carlos Martinez Gutierrez 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 Carlos Martinez Gutierrez affiliated with any hospitals?

According to CMS data, Juan Carlos Martinez Gutierrez is affiliated with Wellstar Kennestone Regional Medical Center, Northside Hospital and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Juan Carlos Martinez Gutierrez was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.