RAFAEL MARTINEZ
NPI 1508286451
Family Medicine in Great Falls, MT

Q: What is Rafael Martinez's NPI number?

The NPI number for Rafael Martinez is 1508286451. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Q: What is Rafael Martinez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Martinez was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 18, 2014PECOS EnrolledAccepts Medicare Assignment

1101 26TH ST S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8876 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2018, Jun 19, 2017, Apr 21, 2017 (3 updates tracked since 2017).

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About Rafael Martinez NPPES

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

RAFAEL MARTINEZ (NPI 1508286451) is an individual family medicine provider in Great Falls, Montana, licensed in Montana (52575) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Nova Southeastern College Of Osteo Medicine (2014).

NPPES Registry Identity

NPI1508286451

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAFAEL MARTINEZ

Location Address1101 26TH ST SGreat Falls, MT 59405

Mailing Address1101 26th St SGreat Falls, MT 59405 · (406) 731-8888 · Fax (406) 731-8876

Phone(406) 731-8888

Fax(406) 731-8876

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2014

Enumeration DateApril 18, 2014

Last NPPES UpdateApril 28, 20203 updates tracked since enumeration

NPPES CertifiedApril 28, 2020

✔ NPI 1508286451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MT · 52575

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 04558 (KY)

Also ListedHospitalistTaxonomy 208M00000X · License 52575 (MT)

1101 26TH ST S, Great Falls, MT 59405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Molina Healthcare 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

Rafael Martinez 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 ID244516466

PECOS Enrollment IDI20240109004262

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

66 services48 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

46 services40 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

44 services41 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

40 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

23 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451391

Location200 S Ih 35Pearsall, TX 78061 · Frio County

Emergency services

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670078

Location16088 San PedroSan Antonio, TX 78232 · Bexar County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

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.

OMER USMAN MD

Hospitalist