DR. HUGO E MARTINEZ RODRIGUEZ MD
NPI 1376549105
Ophthalmology in San Juan, PR

Active since June 27, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 40D2078362 · Waiver
400 AVE FD ROOSEVELT, STE 303, SAN JUAN, PR 00918(787) 767-4350(787) 282-8774 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hugo E Martinez Rodriguez Md NPPES

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

DR. HUGO E MARTINEZ RODRIGUEZ MD (NPI 1376549105) is an individual ophthalmology provider in San Juan, Puerto Rico, licensed in Puerto Rico (7039) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 26, 2028, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1982).

NPPES Registry Identity

NPI1376549105
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HUGO E MARTINEZ RODRIGUEZCredential: MD
Location Address400 AVE FD ROOSEVELT, STE 303San Juan, PR 00918-2130
Mailing Address400 Ave Fd Roosevelt, Ste 303San Juan, PR 00918-2130 · (787) 767-4350 · Fax (787) 282-8774
Fax(787) 282-8774
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1982
Enumeration DateJune 27, 2005
Last NPPES UpdateMay 20, 2010
NPI 1376549105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PR · 7039
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
400 AVE FD ROOSEVELT, San Juan, PR 00918

Other Identifiers 2

Medicare UPIND26708PR
Medicare ID-Type Unspecified98434PR

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. Hugo E Martinez Rodriguez 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 ID9335219609
PECOS Enrollment IDI20080529000790
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D2078362

Dr Hugo Martinez · San Juan, PR
Active · expires May 26, 2028
CLIA Number40D2078362
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorDr. Hugo Martinez
Laboratory Phone(787) 767-4350
Laboratory LocationDr Hugo MartinezClinica Las Americas Suite 303, # 400 Fd Roosevelt, San Juan, PR 00918
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
146 services120 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
106 services70 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
83 services72 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
70 services68 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
47 services43 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
76%33 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%33 patients5/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
92%152 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
14%97 patients1/55-star benchmark: 95%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%297 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
91%43 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
91%43 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%6,982 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%549 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%798 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%1,546 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 1,507 patients
Patients tobacco: 94% · 1,507 patients
9%35 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
99%682 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,546 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,760 patients
0%1,760 patients5/55-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.

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.

Urology
400 AVE FD ROOSEVELT, SUITE 306
SAN JUAN, PR 00918
Clinic/Center (Oncology, Radiation)
400 AVE FD ROOSEVELT, SUITE 109
SAN JUAN, PR 00918
Internal Medicine (Gastroenterology)
400 AVE FD ROOSEVELT
SAN JUAN, PR 00918
Dentist
400 AVE FD ROOSEVELT
SAN JUAN, PR 00918
Colon & Rectal Surgery
400 AVE FD ROOSEVELT, STE 202
SAN JUAN, PR 00918
Clinical Medical Laboratory
400 AVE FD ROOSEVELT, SUITE 201
SAN JUAN, PR 00918
Neurological Surgery
400 AVE FD ROOSEVELT, SUITE 511
SAN JUAN, PR 00918
Surgery (Plastic and Reconstructive Surgery)
400 AVE FD ROOSEVELT, SUITE 412
SAN JUAN, PR 00918

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 Hugo Martinez Rodriguez's NPI number?

The NPI number for Hugo Martinez Rodriguez is 1376549105. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Hugo Martinez Rodriguez located?

Hugo Martinez Rodriguez practices at 400 Ave Fd Roosevelt Ste 303, San Juan, PR 00918. The listed phone number is (787) 767-4350.

What is Hugo Martinez Rodriguez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Hugo Martinez Rodriguez enrolled in Medicare?

Yes. Hugo Martinez Rodriguez 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.

Does Hugo Martinez Rodriguez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2078362) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hugo Martinez Rodriguez was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.