ANTONIO E MARTINEZ MD
NPI 1316971047
Pathology - Anatomic Pathology & Clinical Pathology in West Des Moines, IA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
5950 UNIVERSITY AVE STE 161, WEST DES MOINES, IA 50266(515) 875-9709(515) 875-9702 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antonio E Martinez Md NPPES

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

ANTONIO E MARTINEZ MD (NPI 1316971047) is an individual anatomic pathology & clinical pathology provider in West Des Moines, Iowa, licensed in Iowa (MD-46916) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of San Juan Bautista School Of Medicine (1999).

NPPES Registry Identity

NPI1316971047
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameANTONIO E MARTINEZCredential: MD
Location Address5950 UNIVERSITY AVE STE 161West Des Moines, IA 50266-8234
Mailing AddressPo Box 424Des Moines, IA 50302-0424 · (515) 872-9925 · Fax (515) 875-9923
Fax(515) 875-9702
Sole ProprietorNo
Medical School CMSSan Juan Bautista School Of MedicineGraduated 1999
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1316971047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IA · MD-46916
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License ME95407 (FL)
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License ME95407 (FL)
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License ME95407 (FL)
Also ListedPathology · Forensic PathologyTaxonomy 207ZF0201X · License ME95407 (FL)
Also ListedPathology · HematologyTaxonomy 207ZH0000X · License ME95407 (FL)
Also ListedPathology · ImmunopathologyTaxonomy 207ZI0100X · License ME95407 (FL)
Also ListedPathology · Medical MicrobiologyTaxonomy 207ZM0300X · License ME95407 (FL)
Also ListedPathology · NeuropathologyTaxonomy 207ZN0500X · License ME95407 (FL)
5950 UNIVERSITY AVE STE 161, West Des Moines, IA 50266

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

Antonio E 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 ID1456354083
PECOS Enrollment IDI20200220002527
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 50

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,396 services1,533 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
679 services505 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.
636 services415 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
487 services175 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.
285 services187 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
279 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50266 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES

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

Pathology (Anatomic Pathology & Clinical Pathology)
5950 UNIVERSITY AVE STE 161
WEST DES MOINES, IA 50266

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 Antonio Martinez's NPI number?

The NPI number for Antonio Martinez is 1316971047. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Antonio Martinez located?

Antonio Martinez practices at 5950 University Ave Ste 161, West Des Moines, IA 50266. The listed phone number is (515) 875-9709.

What is Antonio Martinez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Antonio Martinez enrolled in Medicare?

Yes. Antonio 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 Antonio Martinez accept?

Health plans from Medica list Antonio 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 Antonio Martinez was last updated on December 21, 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.