JOHN JOSEPH MARTIN JR. MD
NPI 1376566562
Ophthalmology in Coral Gables, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
2912 S DOUGLAS RD, CORAL GABLES, FL 33134(305) 444-5950(305) 444-8670 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Joseph Martin Jr. Md NPPES

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

JOHN JOSEPH MARTIN JR. MD (NPI 1376566562) is an individual ophthalmology provider in Coral Gables, Florida, licensed in Florida (ME 47615) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1982).

NPPES Registry Identity

NPI1376566562
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN JOSEPH MARTIN JR.Credential: MD
Location Address2912 S DOUGLAS RDCoral Gables, FL 33134-6902
Mailing Address2912 S Douglas RdCoral Gables, FL 33134-6902 · (305) 444-5950 · Fax (305) 444-8670
Fax(305) 444-8670
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 1982
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1376566562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME 47615
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.
Also ListedPlastic SurgeryTaxonomy 208200000X · License ME 47615 (FL)
2912 S DOUGLAS RD, Coral Gables, FL 33134

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Joseph Martin Jr. 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 ID5799795084
PECOS Enrollment IDI20060502000158
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
325 ALHAMBRA CIR
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
Ophthalmology
1661 SW 37TH AVE
Miami, FL 33145
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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 John Martin's NPI number?

The NPI number for John Martin is 1376566562. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is John Martin located?

John Martin practices at 2912 S Douglas Rd, Coral Gables, FL 33134. The listed phone number is (305) 444-5950.

What is John Martin's specialty?

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

Is John Martin enrolled in Medicare?

Yes. John Martin 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.

Which organizations bill Medicare for John Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Martin reassigns Medicare benefits to 2 organizations: John J Martin Jr MD,pa (Coral Gables, FL) and New Laser Eye Center Of Miami, Inc. (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Martin accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Oscar Health Maintenance Organization of Florida list John Martin 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 John Martin was last updated on September 13, 2024. 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.