DEMETRIO JOSE PROTA MARTINEZ M.D.
NPI 1508206558
Psychiatry & Neurology - Psychiatry in Tupelo, MS

Q: What is Demetrio Prota Martinez's NPI number?

The NPI number for Demetrio Prota Martinez is 1508206558. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Q: What is Demetrio Prota Martinez's specialty?

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

Active since July 04, 2013PECOS EnrolledAccepts Medicare Assignment

93.1/100

CMS Quality Rating

830 S GLOSTER ST, TUPELO, MS 38801(662) 377-7590 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Demetrio Jose Prota Martinez M.d. NPPES

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

DEMETRIO JOSE PROTA MARTINEZ M.D. (NPI 1508206558) is an individual psychiatry provider in Tupelo, Mississippi, licensed in Mississippi (24914) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1508206558

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDEMETRIO JOSE PROTA MARTINEZCredential: M.D.

Location Address830 S GLOSTER STTupelo, MS 38801

Mailing Address830 S Gloster StTupelo, MS 38801-4934 · (662) 377-7590

Phone(662) 377-7590

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 4, 2013

Last NPPES UpdateSeptember 28, 2018

✔ NPI 1508206558 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 MS · 24914

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.

830 S GLOSTER ST, Tupelo, MS 38801

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Secondary Practice Location 1

Location 1234 E 149th StBronx, NY 10451-5504 · Phone (718) 579-5000

Accepted Insurance

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

Demetrio Jose Prota 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 ID6901177146

PECOS Enrollment IDI20170805000217

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 4

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.

349 services97 patients

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.

130 services57 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

27 services12 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.

22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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

$159.18 typical visit price

range $51.65 – $159.18

Typical copayment $39.79 (range $12.91 – $39.79)

Most-billed visit code 99205

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

93.1/100

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

Scored through an Alternative Payment Model

Quality

83.08

Promoting Interoperability

Improvement Activities

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.

LAUREN ELIZABETH ABEL CRNA

Nurse Anesthetist, Certified Registered

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-4394

WESLEY B BRUCE

Nurse Practitioner (Family)

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-3000

DR. ROBERT CARSON KIRKSEY M.D.

Emergency Medicine

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (866) 754-3852

NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC

Internal Medicine

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-4685

NORTH MISSISSIPPI MEDICAL CENTER INC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801

Lee County (662) 377-7170

JENNIFER L TAYLOR FNP-BC

Nurse Practitioner (Family)

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (205) 412-0585

KALISA MICKELL FNP

Nurse Practitioner (Family)

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (662) 377-3000

JESSICA KATHRYN PIPPIN

Nurse Practitioner

830 S GLOSTER ST
TUPELO, MS 38801

Lee County (888) 731-7611

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 Demetrio Prota Martinez's NPI number?

The NPI number for Demetrio Prota Martinez is 1508206558. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Where is Demetrio Prota Martinez located?

Demetrio Prota Martinez practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-7590.

What is Demetrio Prota Martinez's specialty?

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

Is Demetrio Prota Martinez enrolled in Medicare?

Yes. Demetrio Prota 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.

What insurance does Demetrio Prota Martinez accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Demetrio Prota 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 Demetrio Prota Martinez was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.