MS. TANIA CONSUELO MARTINEZ-JIMENEZ M.D.
NPI 1497961718
Psychiatry & Neurology - Psychiatry in Bethlehem, PA

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1107 EATON AVE, BETHLEHEM, PA 18018(484) 526-2400(484) 526-3697 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tania Consuelo Martinez-jimenez M.d. NPPES

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

MS. TANIA CONSUELO MARTINEZ-JIMENEZ M.D. (NPI 1497961718) is an individual psychiatry provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD432480) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Ponce School Of Medicine (2003).

NPPES Registry Identity

NPI1497961718
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMS. TANIA CONSUELO MARTINEZ-JIMENEZCredential: M.D.
Location Address1107 EATON AVEBethlehem, PA 18018-1862
Mailing Address1107 Eaton AveBethlehem, PA 18018-1862 · (484) 526-2400 · Fax (484) 526-3697
Fax(484) 526-3697
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2003
Enumeration DateMay 15, 2007
Last NPPES UpdateMay 30, 2013
NPI 1497961718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in PA · MD432480
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1107 EATON AVE, Bethlehem, PA 18018

Other Identifiers 2

Medicare PIN117708PA
Medicaid1001275120017PA

Accepted 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

Ms. Tania Consuelo Martinez-jimenez 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 ID1658468418
PECOS Enrollment IDI20071026000321
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.

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
164 services59 patients
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.
109 services60 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.
104 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services17 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18018 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
1107 EATON AVE
BETHLEHEM, PA 18018
Registered Nurse
1107 EATON AVE
BETHLEHEM, PA 18018
Psychiatry & Neurology (Psychiatry)
1107 EATON AVE
BETHLEHEM, PA 18018
Nurse Practitioner (Psychiatric/Mental Health)
1107 EATON AVE
BETHLEHEM, PA 18018
Nurse Practitioner
1107 EATON AVE
BETHLEHEM, PA 18018
Psychiatry & Neurology (Psychiatry)
1107 EATON AVE
BETHLEHEM, PA 18018
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1107 EATON AVE
BETHLEHEM, PA 18018
Social Worker (Clinical)
1107 EATON AVE
BETHLEHEM, PA 18018

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 Tania Martinez-jimenez's NPI number?

The NPI number for Tania Martinez-jimenez is 1497961718. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Tania Martinez-jimenez located?

Tania Martinez-jimenez practices at 1107 Eaton Ave, Bethlehem, PA 18018. The listed phone number is (484) 526-2400.

What is Tania Martinez-jimenez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Tania Martinez-jimenez enrolled in Medicare?

Yes. Tania Martinez-jimenez 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.

What insurance does Tania Martinez-jimenez accept?

Health plans from Providence Health Plan list Tania Martinez-jimenez 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 Tania Martinez-jimenez affiliated with any hospitals?

According to CMS data, Tania Martinez-jimenez is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Tania Martinez-jimenez was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.