MARCO ANTONIO MARTINEZ MD
NPI 1457880718
Obstetrics & Gynecology in Rockford, IL

Q: What is Marco Martinez's NPI number?

The NPI number for Marco Martinez is 1457880718. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Marco Martinez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Marco Martinez was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment

74.98/100

CMS Quality Rating

1415 E STATE ST STE 800, ROCKFORD, IL 61104(779) 696-9120(779) 696-9593 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2021, Jun 17, 2017, Jun 8, 2017 (3 updates tracked since 2017).

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About Marco Antonio Martinez Md NPPES

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

MARCO ANTONIO MARTINEZ MD (NPI 1457880718) is an individual obstetrics & gynecology provider in Rockford, Illinois, licensed in Illinois (036-157747) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1457880718

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMARCO ANTONIO MARTINEZCredential: MD

Location Address1415 E STATE ST STE 800Rockford, IL 61104-2344

Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150

Phone(779) 696-9120

Fax(779) 696-9593

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017

Enumeration DateJune 8, 2017

Last NPPES UpdateAugust 31, 20213 updates tracked since enumeration

NPPES CertifiedAugust 31, 2021

✔ NPI 1457880718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036-157747✔ Licensed in MI · 4301112822

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1415 E STATE ST STE 800, Rockford, IL 61104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Marco Antonio Martinez Md 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 ID9537438924

PECOS Enrollment IDI20210824002127

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.

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

74.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.92

Promoting Interoperability

Improvement Activities

Cost

55.01

Other Providers at the Same Location NPPES 6

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

JACK W. LENOX, LTD

Obstetrics & Gynecology (Gynecology)