DR. JUAN PABLO PAUTA MARTINEZ M.D
NPI 1417311671
Psychiatry & Neurology - Vascular Neurology in Sarasota, FL

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
1921 WALDEMERE ST STE 607, SARASOTA, FL 34239(941) 262-3100(941) 261-3760 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2023, Jul 1, 2021, Jun 16, 2020 (3 updates tracked since 2020).

About Dr. Juan Pablo Pauta Martinez M.d NPPES

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

DR. JUAN PABLO PAUTA MARTINEZ M.D (NPI 1417311671) is an individual vascular neurology provider in Sarasota, Florida, licensed in Florida (ME169620) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417311671
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. JUAN PABLO PAUTA MARTINEZCredential: M.D
Location Address1921 WALDEMERE ST STE 607Sarasota, FL 34239-2913
Mailing AddressPo Box 947407Atlanta, GA 30394-7407 · (941) 917-2600 · Fax (941) 917-7884
Fax(941) 261-3760
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 13, 2016
Last NPPES UpdateNovember 26, 20243 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1417311671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License✔ Licensed in FL · ME169620
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License U4596 (TX), ME169620 (FL)
1921 WALDEMERE ST STE 607, Sarasota, FL 34239

Secondary Practice Locations 2

Location 12795 Pharmacy RdRio Grande City, TX 78582-6201 · Phone (956) 362-3930 · Fax (956) 362-3939
Location 22821 Michaelangelo Dr Ste 304Edinburg, TX 78539-1405 · Phone (956) 362-8500 · Fax (956) 362-8505

Other Identifiers 1

Medicaid1417311671WA

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

Dr. Juan Pablo Pauta 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 ID6901190149
PECOS Enrollment IDI20241204004609
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 Juan Pauta Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 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.

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Vascular Neurology)
1921 WALDEMERE ST STE 607
SARASOTA, FL 34239
Psychiatry & Neurology (Vascular Neurology)
1921 WALDEMERE ST STE 607
SARASOTA, FL 34239
Psychiatry & Neurology (Vascular Neurology)
1921 WALDEMERE ST STE 607
SARASOTA, FL 34239

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 Juan Pauta Martinez's NPI number?

The NPI number for Juan Pauta Martinez is 1417311671. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Juan Pauta Martinez located?

Juan Pauta Martinez practices at 1921 Waldemere St Ste 607, Sarasota, FL 34239. The listed phone number is (941) 262-3100.

What is Juan Pauta Martinez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Juan Pauta Martinez enrolled in Medicare?

Yes. Juan Pauta 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 Juan Pauta Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Pauta Martinez reassigns Medicare benefits to 2 organizations: Smh Physician Services Inc (Sarasota, FL) and Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI). 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 Juan Pauta Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Pauta Martinez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Juan Pauta 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.

Is Juan Pauta Martinez affiliated with any hospitals?

According to CMS data, Juan Pauta Martinez is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Juan Pauta Martinez was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.