DR. MARTIN JAMES NEJAT M.D.
NPI 1306102306
Family Medicine in San Antonio, TX

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
20800 US HIGHWAY 281 N, SAN ANTONIO, TX 78258(210) 581-9053(726) 900-4054 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2023, Jan 27, 2023, Sep 20, 2022 and 4 more (7 updates tracked since 2018).

About Dr. Martin James Nejat M.d. NPPES

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

DR. MARTIN JAMES NEJAT M.D. (NPI 1306102306) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (Q6249) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306102306
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARTIN JAMES NEJATCredential: M.D.
Location Address20800 US HIGHWAY 281 NSan Antonio, TX 78258-7523
Mailing Address20800 Us Highway 281 N Ste 102San Antonio, TX 78258-7699 · (210) 610-8923 · Fax (726) 900-4054
Fax(726) 900-4054
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 4, 2012
Last NPPES UpdateMay 3, 20257 updates tracked since enumeration
NPPES CertifiedMay 3, 2025
NPI 1306102306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · Q6249 Licensed in CO · DR.0055561
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.
20800 US HIGHWAY 281 N, San Antonio, TX 78258

Secondary Practice Location 1

Location 119016 Stone Oak Pkwy Ste 101San Antonio, TX 78258-3280 · Phone (205) 964-2924

Other Identifiers 1

Medicaid353283001TX

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

Dr. Martin James Nejat 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 ID1850607987
PECOS Enrollment IDI20151113001104
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 4

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 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 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
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
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
81%21 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$27.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by EB July 14, 2025

5/5
Very caring and thorough doctor. Dr. Martin Nejat listens well and provides excellent examination and explanation of conditions. Gives guidance on the way ahead. Highly recommend to anyone looking for a doctor.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

Pharmacy
20800 US HIGHWAY 281 N
SAN ANTONIO, TX 78258
Pharmacist
20800 US HIGHWAY 281 N
SAN ANTONIO, TX 78258
Pharmacist
20800 US HIGHWAY 281 N
SAN ANTONIO, TX 78258
Pharmacist
20800 US HIGHWAY 281 N
SAN ANTONIO, TX 78258
Pharmacist
20800 US HIGHWAY 281 N
SAN ANTONIO, TX 78258

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 Nejat's NPI number?

The NPI number for Martin Nejat is 1306102306. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Martin Nejat located?

Martin Nejat practices at 20800 Us Highway 281 N, San Antonio, TX 78258. The listed phone number is (210) 581-9053.

What is Martin Nejat's specialty?

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

Is Martin Nejat enrolled in Medicare?

Yes. Martin Nejat 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 Martin Nejat 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 4 other insurers list Martin Nejat 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 Martin Nejat was last updated on May 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.