Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOSEPH JOHN MARTINEZ M.D.
NPI 1326305491
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Birmingham, AL

Active since April 13, 2012PECOS Enrolled
84.04/100
CMS Quality Rating
4600 HIGHWAY 280 STE 200, BIRMINGHAM, AL 35242(205) 716-6900(205) 939-0293 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Dec 16, 2024, Oct 27, 2022 and 2 more (5 updates tracked since 2020).

About Joseph John Martinez M.d. NPPES

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

JOSEPH JOHN MARTINEZ M.D. (NPI 1326305491) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Birmingham, Alabama, licensed in Alabama (MD.33010) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2012).

NPPES Registry Identity

NPI1326305491
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJOSEPH JOHN MARTINEZCredential: M.D.
Location Address4600 HIGHWAY 280 STE 200Birmingham, AL 35242-5186
Mailing Address4200 Colonnade PkwyBirmingham, AL 35243-2342 · (205) 971-7613
Fax(205) 939-0293
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateJuly 20, 20265 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1326305491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in AL · MD.33010
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
4600 HIGHWAY 280 STE 200, Birmingham, AL 35242

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

Joseph John Martinez 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 ID8527218890
PECOS Enrollment IDI20200814002062
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 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.
17 services15 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
15 services15 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

84.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.86
Promoting Interoperability100
Improvement Activities40
Cost78.94

Referred Medical Equipment & Supplies CMS DME claims 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$99.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Physician Assistant
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242
Physician Assistant
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242
Physician Assistant
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242
Orthopaedic Surgery
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242
Nurse Practitioner (Family)
4600 HIGHWAY 280 STE 200
BIRMINGHAM, AL 35242

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 Joseph Martinez's NPI number?

The NPI number for Joseph Martinez is 1326305491. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Joseph Martinez located?

Joseph Martinez practices at 4600 Highway 280 Ste 200, Birmingham, AL 35242. The listed phone number is (205) 716-6900.

What is Joseph Martinez's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Joseph Martinez enrolled in Medicare?

Yes. Joseph 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 Joseph Martinez accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Joseph 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 Joseph Martinez was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.