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EDUARDO MILTON MARTINEZ M.D.
NPI 1396845954
Surgery - Vascular Surgery in Miami, FL

Active since September 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
3659 S MIAMI AVE, SUITE 4006, MIAMI, FL 33133(786) 483-8438(305) 532-7826 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eduardo Milton Martinez M.d. NPPES

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

EDUARDO MILTON MARTINEZ M.D. (NPI 1396845954) is an individual vascular surgery provider in Miami, Florida, licensed in Florida (ME0068215) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1988).

NPPES Registry Identity

NPI1396845954
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameEDUARDO MILTON MARTINEZCredential: M.D.
Location Address3659 S MIAMI AVE, SUITE 4006Miami, FL 33133-4227
Mailing Address3659 S Miami Ave, Suite 4006Miami, FL 33133-4227 · (786) 483-8438 · Fax (305) 532-7826
Phone(786) 483-8438
Fax(305) 532-7826
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1988
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 21, 2017
✔ NPI 1396845954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in FL · ME0068215
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3659 S MIAMI AVE, Miami, FL 33133
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING11504FL
Medicaid252061300FL
Medicare PIN27187YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Eduardo Milton 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 ID749220879
PECOS Enrollment IDI20180611002028
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 Reassignment

Medicare enrollment records show Eduardo Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Houston County Healthcare Authority
490 mi
Gynecology
1118 ROSS CLARK CIR, SUITE 210
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1235469669 (334) 702-6900

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 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.
209 services139 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.
41 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
30 services26 patients
Review by radiologist of abdominal aorta image 75625
This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.
26 services24 patients
Review by radiologist of both arms or legs arteries image 75716
This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

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.
93%308 patients4/55-star benchmark: 99%
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%207 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.
99%298 patients5/55-star benchmark: 97%
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…
100%298 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%298 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%298 patients
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.

MADAI MARTINEZ
Nurse Practitioner (Acute Care)
3659 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (786) 804-5585
DR. MYRON MAYER PERSOFF MD
Plastic Surgery
3659 S MIAMI AVE, SUITE 4006
MIAMI, FL 33133
Miami-Dade County (305) 858-5255
EDUARDO M MARTINEZ, MD, PA
Surgery (Vascular Surgery)
3659 S MIAMI AVE, SUITE 4006
MIAMI, FL 33133
Miami-Dade County (786) 483-8438
GALIMIDI DPM PA
Podiatrist (Foot & Ankle Surgery)
3659 S MIAMI AVE, 3008
MIAMI, FL 33133
Miami-Dade County (305) 859-7777
DR. RAUL MOAS M.D.
Internal Medicine (Pulmonary Disease)
3659 S MIAMI AVE, SUITE 5004
MIAMI, FL 33133
Miami-Dade County (305) 854-0616
JAMES M LOSITO DPM
Podiatrist (Sports Medicine)
3659 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 859-7777
MARITZA MIREYA CARDENA ALENCAR NP
Nurse Practitioner (Adult Health)
3659 S MIAMI AVE, STE 2001
MIAMI, FL 33133
Miami-Dade County (305) 854-8800
MARYELLEN CRAIG ARNP
Nurse Practitioner (Family)
3659 S MIAMI AVE, STE. 2001
MIAMI, FL 33133
Miami-Dade County (305) 854-8801

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 Eduardo Martinez's NPI number?

The NPI number for Eduardo Martinez is 1396845954. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Eduardo Martinez located?

Eduardo Martinez practices at 3659 S Miami Ave Suite 4006, Miami, FL 33133. The listed phone number is (786) 483-8438.

What is Eduardo Martinez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Eduardo Martinez enrolled in Medicare?

Yes. Eduardo 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.

Which organization bills Medicare for Eduardo Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Martinez reassigns Medicare benefits to Houston County Healthcare Authority (Dothan, AL). The 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 Eduardo Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eduardo Martinez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Eduardo 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 Eduardo Martinez was last updated on July 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.