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DR. GILBERT MARTINEZ PH.D.
NPI 1407971138
Clinical Neuropsychologist in San Antonio, TX

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
4242 MEDICAL DR, SUITE 6250, SAN ANTONIO, TX 78229(210) 614-3011(210) 615-6906 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gilbert Martinez Ph.d. NPPES

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

DR. GILBERT MARTINEZ PH.D. (NPI 1407971138) is an individual clinical neuropsychologist in San Antonio, Texas, licensed in Texas (30743) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1407971138
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. GILBERT MARTINEZCredential: PH.D.
Location Address4242 MEDICAL DR, SUITE 6250San Antonio, TX 78229-5640
Mailing Address16014 Via ShavanoSan Antonio, TX 78249-2364 · (210) 614-3011 · Fax (210) 615-6906
Phone(210) 614-3011
Fax(210) 615-6906
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 20, 2007
Last NPPES UpdateMay 24, 2016
✔ NPI 1407971138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · 30743
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
4242 MEDICAL DR, San Antonio, TX 78229
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN00407ETX
Other0009DGTX · Blue Cross Blue Shield
Medicaid030241601TX

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

Dr. Gilbert Martinez Ph.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 ID8123200524
PECOS Enrollment IDI20110307000446
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 Gilbert Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Texas Neurobehavioral Group LLC
6.0 mi
Clinical Neuropsychologist
3603 PAESANOS PKWY, SUITE 300
San Antonio, TX 78231
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1568738763 (210) 614-3011
South Texas Neuropsychological Associates PLLC
6.0 mi
Clinical Neuropsychologist
3603 PAESANOS PKWY, STE 300A
San Antonio, TX 78231
  • Reassigned Medicare billing, Texas enrollment
NPI 1003130543 (210) 614-3011

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 5

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
1,930 services193 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
772 services193 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
201 services194 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
193 services193 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
193 services193 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

MR. ELLIOT JOSEPH CRUZ LCSW
Social Worker (Clinical)
4242 MEDICAL DR, 7100
SAN ANTONIO, TX 78229
Bexar County (210) 216-2739
DOCTOR AT YOUR SERVICE PLLC
Family Medicine
4242 MEDICAL DR, SUITE 6250
SAN ANTONIO, TX 78229
Bexar County (210) 479-3297
SCOTT TAYLOR KANE M.D.
Anesthesiology
4242 MEDICAL DR, SUITE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
MARK E CRUM M.D.
Anesthesiology
4242 MEDICAL DR, SUITE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
SAVITHA SEHGAL MD
Anesthesiology
4242 MEDICAL DR, SUITE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
R. BRADEN NEIMAN, MD PA
Psychiatry & Neurology (Neurology)
4242 MEDICAL DR, #6100
SAN ANTONIO, TX 78229
Bexar County (210) 692-1245
JESSICA P. EDWARDS M.D.
Anesthesiology
4242 MEDICAL DR, SUITE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
GORDANA GLIGORIC MD
Allergy & Immunology
4242 MEDICAL DR, SUITE 6100
SAN ANTONIO, TX 78229
Bexar County (210) 807-3889

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 Gilbert Martinez's NPI number?

The NPI number for Gilbert Martinez is 1407971138. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Gilbert Martinez located?

Gilbert Martinez practices at 4242 Medical Dr Suite 6250, San Antonio, TX 78229. The listed phone number is (210) 614-3011.

What is Gilbert Martinez's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Gilbert Martinez enrolled in Medicare?

Yes. Gilbert 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 organizations bill Medicare for Gilbert Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilbert Martinez reassigns Medicare benefits to 2 organizations: South Texas Neurobehavioral Group LLC (San Antonio, TX) and South Texas Neuropsychological Associates PLLC (San Antonio, TX). 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 Gilbert Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gilbert Martinez was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.