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DR. MARY ANN MARTINEZ M.D.
NPI 1497778104
Dermatology in West Lake Hills, TX

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
81.32/100
CMS Quality Rating
5656 BEE CAVES RD STE 203, WEST LAKE HILLS, TX 78746(512) 329-6029 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mary Ann Martinez M.d. NPPES

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

DR. MARY ANN MARTINEZ M.D. (NPI 1497778104) is an individual dermatology provider in West Lake Hills, Texas, licensed in Texas (J6567) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1993).

NPPES Registry Identity

NPI1497778104
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. MARY ANN MARTINEZCredential: M.D.
Location Address5656 BEE CAVES RD STE 203West Lake Hills, TX 78746-5280
Mailing Address5656 Bee Caves Rd Ste 203West Lake Hills, TX 78746-5280 · (512) 329-6029
Phone(512) 329-6029
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1993
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1497778104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · J6567
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5656 BEE CAVES RD STE 203, West Lake Hills, TX 78746
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Other Identifiers 1

Other0084DKTX · Bcbs Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Mary Ann 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 ID3173648433
PECOS Enrollment IDI20100910000451
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 Mary Ann Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Epiphany Dermatology PA
92 mi
Dermatology
7106 SANGER AVENUE
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 104 clinicians in this Medicare group
NPI 1043615263 (254) 537-1265

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 12

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.
390 services235 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
342 services250 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
300 services76 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
165 services122 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
116 services103 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
112 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

81.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.06
Promoting Interoperability78
Improvement Activities40
Cost75.01

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 Mary Ann Martinez's NPI number?

The NPI number for Mary Ann Martinez is 1497778104. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mary Ann Martinez located?

Mary Ann Martinez practices at 5656 Bee Caves Rd Ste 203, West Lake Hills, TX 78746. The listed phone number is (512) 329-6029.

What is Mary Ann Martinez's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mary Ann Martinez enrolled in Medicare?

Yes. Mary Ann 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 Mary Ann Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ann Martinez reassigns Medicare benefits to Epiphany Dermatology PA (Waco, TX). 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 Mary Ann Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Ann Martinez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Mary Ann 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 Mary Ann Martinez was last updated on August 23, 2022. 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.