FERNANDO J MARTINEZ MD
NPI 1336221241
Internal Medicine - Pulmonary Disease in Worcester, MA
About Fernando J Martinez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FERNANDO J MARTINEZ MD (NPI 1336221241) is an individual pulmonary disease provider in Worcester, Massachusetts, licensed in Massachusetts (55274) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and maintains a secondary practice location in Worcester.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Fernando J 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthcare-Marlborough Hospital
Acute Care Hospitals · Marlborough, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Fernando Martinez's NPI number?
The NPI number for Fernando Martinez is 1336221241. It was assigned to this individual provider in the NPPES registry on October 19, 2006.
Where is Fernando Martinez located?
Fernando Martinez practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1975.
What is Fernando Martinez's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Fernando Martinez enrolled in Medicare?
Yes. Fernando 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 Fernando Martinez accept?
Health plans from Anthem Blue Cross and Blue Shield list Fernando 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.
Is Fernando Martinez affiliated with any hospitals?
According to CMS data, Fernando Martinez is affiliated with Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Fernando Martinez was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Fernando J Martinez, MD · NPI 1336221241
Pulmonary Disease physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since October 19, 2006.
## Identity
- **NPI:** 1336221241 (Entity type: Individual)
- **Enumerated:** October 19, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 55274 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-1975
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 11, 2026
- **Other identifiers:** Medicaid 110046969A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336221241) · Data from the CMS NPPES public registry.