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DR. JOSE G. MARTINEZ M.D.
NPI 1417907858
Internal Medicine in Wake Forest, NC

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
5925 TWO PINES TRL, WAKE FOREST, NC 27587(919) 556-2704(919) 556-2704 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jose G. Martinez M.d. NPPES

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

DR. JOSE G. MARTINEZ M.D. (NPI 1417907858) is an individual internal medicine provider in Wake Forest, North Carolina, licensed in Maryland (165417) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1417907858
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE G. MARTINEZCredential: M.D.
Location Address5925 TWO PINES TRLWake Forest, NC 27587-8461
Mailing Address5925 Two Pines TrlWake Forest, NC 27587-8461 · (919) 556-2704
Phone(919) 556-2704
Fax(919) 556-2704
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 10, 2006
Last NPPES UpdateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1417907858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · 165417
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.
Also ListedHospitalistTaxonomy 208M00000X · License D0045688 (MD), 95-00134 (NC)
5925 TWO PINES TRL, Wake Forest, NC 27587
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Other Identifiers 2

Medicaid89-54037NC
Medicaid89-54037MD

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. Jose G. 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 ID6608861778
PECOS Enrollment IDI20101116000194
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

3

Medicare enrollment records show Jose Martinez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mdics At Civista LLC
195 mi
Hospitalist
5 GARRETT AVE
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Medicare enrollment name: Mdics Rehabilitative Services LLC
  • Also billed through NPI 1124313309 (District of Columbia)
  • 61 clinicians in this Medicare group
NPI 1225323496 (443) 949-0814
Mdics Rehabilitative Services - Ltcaco LLC
196 mi
Internal Medicine
121 MORRIS DR
La Plata, MD 20646
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 54 clinicians in this Medicare group
NPI 1033005475 (410) 999-1133
Adfinitas Health At Encompass Rehab LLC
228 mi
Internal Medicine
17351 MELFORD BLVD
Bowie, MD 20715
  • Reassigned Medicare billing, District of Columbia enrollment
  • 17 clinicians in this Medicare group
NPI 1568152932 (321) 263-7186

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
640 services109 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
362 services46 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
102 services90 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
94 services52 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.
62 services55 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
37 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims390 services$7.11 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims450 services$0.93 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers41 claims41 services$43.87 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 claims16 services$10.98 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers22 claims22 services$43.80 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$68.38 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

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

HOSPIMED, PLLC
Specialist
5925 TWO PINES TRL
WAKE FOREST, NC 27587
Wake County (919) 556-2704

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 Jose Martinez's NPI number?

The NPI number for Jose Martinez is 1417907858. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Jose Martinez located?

Jose Martinez practices at 5925 Two Pines Trl, Wake Forest, NC 27587. The listed phone number is (919) 556-2704.

What is Jose Martinez's specialty?

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

Is Jose Martinez enrolled in Medicare?

Yes. Jose 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 Jose Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Martinez reassigns Medicare benefits to 3 organizations: Mdics At Civista LLC (La Plata, MD), Mdics Rehabilitative Services - Ltcaco LLC (La Plata, MD) and Adfinitas Health At Encompass Rehab LLC (Bowie, MD). 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 Jose Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jose Martinez affiliated with any hospitals?

According to CMS data, Jose Martinez is affiliated with Frederick Health Hospital and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Jose Martinez was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.