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EDGAR MARTINEZ MD
NPI 1295314359
Dermatology in Plano, TX

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
5030 TENNYSON PKWY STE 100, PLANO, TX 75024(972) 985-9003(972) 985-1176 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2025, May 5, 2022, Apr 6, 2021 (3 updates tracked since 2021).

About Edgar Martinez Md NPPES

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

EDGAR MARTINEZ MD (NPI 1295314359) is an individual dermatology provider in Plano, Texas, licensed in Texas (V7953) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2021).

NPPES Registry Identity

NPI1295314359
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameEDGAR MARTINEZCredential: MD
Location Address5030 TENNYSON PKWY STE 100Plano, TX 75024-3397
Mailing Address5030 Tennyson Pkwy Ste 100Plano, TX 75024-3397 · (972) 985-9003 · Fax (972) 985-1176
Phone(972) 985-9003
Fax(972) 985-1176
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1295314359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · V7953
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5030 TENNYSON PKWY STE 100, Plano, TX 75024
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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

Edgar 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 ID6103226907
PECOS Enrollment IDI20250724002082
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

SAM AWAN M.D.
Dermatology
5030 TENNYSON PKWY STE 100
PLANO, TX 75024
Collin County (972) 985-9003
KARANEH KARIMI MD
Dermatology
5030 TENNYSON PKWY STE 100
PLANO, TX 75024
Collin County (972) 985-9003

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 Edgar Martinez's NPI number?

The NPI number for Edgar Martinez is 1295314359. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Edgar Martinez located?

Edgar Martinez practices at 5030 Tennyson Pkwy Ste 100, Plano, TX 75024. The listed phone number is (972) 985-9003.

What is Edgar Martinez's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Edgar Martinez enrolled in Medicare?

Yes. Edgar 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.

What insurance does Edgar Martinez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Edgar Martinez 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.

When was this NPI record last updated?

The NPPES record for Edgar Martinez was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.