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DR. PEDRO PABLO MARTIN M.D.
NPI 1376828970
Internal Medicine in Naples, FL

Active since October 14, 2011PECOS EnrolledAccepts Medicare Assignment
92.62/100
CMS Quality Rating
12264 TAMIAMI TRL E STE 203, NAPLES, FL 34113(239) 999-4949(239) 999-4959 Get Directions Write a Review

NPPES record last updated: March 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pedro Pablo Martin M.d. NPPES

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

DR. PEDRO PABLO MARTIN M.D. (NPI 1376828970) is an individual internal medicine provider in Naples, Florida, licensed in Florida (ME113615) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1376828970
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PEDRO PABLO MARTINCredential: M.D.
Location Address12264 TAMIAMI TRL E STE 203Naples, FL 34113-7942
Mailing Address12264 Tamiami Trl E Ste 203Naples, FL 34113-7942 · (239) 999-4949 · Fax (239) 999-4959
Phone(239) 999-4949
Fax(239) 999-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 14, 2011
Last NPPES UpdateMarch 24, 2024
NPPES CertifiedMarch 24, 2024
✔ NPI 1376828970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME113615
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12264 TAMIAMI TRL E STE 203, Naples, FL 34113
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Other Identifiers 3

Other14N0WFL · Bcbs
Medicaid006576400FL
OtherGM452VFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Dr. Pedro Pablo Martin 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 ID8527217116
PECOS Enrollment IDI20120925000239
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 9

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
281 services107 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
147 services42 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
78 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 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.
40 services30 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34113 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

92.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers46 claims115 services$5.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims28 services$0.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 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 supplier12 claims12 services$70.06 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 2

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

PEDRO P MARTIN MD, PA
Internal Medicine
12264 TAMIAMI TRL E STE 203
NAPLES, FL 34113
Collier County (239) 999-4949
INTERNAL MEDICINE INSTITUTE OF SOUTH FL,LLC
Specialist
12264 TAMIAMI TRL E STE 203
NAPLES, FL 34113
Collier County (239) 304-9071

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 Pedro Martin's NPI number?

The NPI number for Pedro Martin is 1376828970. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is Pedro Martin located?

Pedro Martin practices at 12264 Tamiami Trl E Ste 203, Naples, FL 34113. The listed phone number is (239) 999-4949.

What is Pedro Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pedro Martin enrolled in Medicare?

Yes. Pedro 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.

What insurance does Pedro Martin accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Pedro 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.

Is Pedro Martin affiliated with any hospitals?

According to CMS data, Pedro Martin is affiliated with Naples Community Hospital, Physicians Regional Medical Center - Pine Ridge and Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Pedro Martin was last updated on March 24, 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.