DR. MARK L MARTINEZ MD
NPI 1508861964
Internal Medicine - Pulmonary Disease in Salt Lake City, UT

Q: What is Mark Martinez's NPI number?

The NPI number for Mark Martinez is 1508861964. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Mark Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Martinez was last updated on June 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

84.26/100

CMS Quality Rating

8 TH AVENUE AND C ST, SALT LAKE CITY, UT 84143(801) 408-7100(801) 296-1715 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mark L Martinez Md NPPES

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

DR. MARK L MARTINEZ MD (NPI 1508861964) is an individual pulmonary disease provider in Salt Lake City, Utah, licensed in Utah (4975474-1205) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (1998).

NPPES Registry Identity

NPI1508861964

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MARK L MARTINEZCredential: MD

Location Address8 TH AVENUE AND C STSalt Lake City, UT 84143-0001

Mailing AddressPo Box 1249Bountiful, UT 84011-1249 · (801) 296-2113 · Fax (801) 296-1715

Phone(801) 408-7100

Fax(801) 296-1715

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1998

Enumeration DateJune 14, 2005

Last NPPES UpdateJune 1, 2015

✔ NPI 1508861964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in UT · 4975474-1205

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

8 TH AVENUE AND C ST, Salt Lake City, UT 84143

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Other Identifiers 2

Medicaid1508861964UT

Medicare PIN000068091UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Dr. Mark L 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 ID7911942909

PECOS Enrollment IDI20050621000457

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 10

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

1,834 services95 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,383 services93 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.

258 services40 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

226 services58 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.

188 services40 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

64 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460042

Location630 East Medical DriveBountiful, UT 84010 · Davis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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.

84.26/100

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

Scored as part of a group practice

Quality

Improvement Activities

Cost

27.53

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%177 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

3 suppliers49 claims49 services$24.22 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315

DME-Orthotic Devices · category DF000N

2 suppliers36 claims36 services$24.73 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

2 suppliers45 claims539 services$2.13 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

2 suppliers60 claims60 services$4.63 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers24 claims2,910 services$1.50 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers87 claims88 services$7.92 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

2 suppliers15 claims1,880 services$0.37 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

2 suppliers28 claims1,728 services$5.37 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

3 suppliers146 claims5,089 services$4.47 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers14 claims267 services$2.61 avg. paid by Medicare

Leg strap; foam or fabric, replacement only, per set A5114

DME-Orthotic Devices · category DF010N

1 supplier24 claims24 services$7.35 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers12 claims517 services$0.20 avg. paid by Medicare

Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131

DME-Orthotic Devices · category DF000N

1 supplier16 claims16 services$15.21 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

2 suppliers16 claims576 services$29.79 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers21 claims752 services$7.09 avg. paid by Medicare

Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203

DME-Medical/Surgical Supplies · category DA023N

2 suppliers19 claims227 services$3.26 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209

DME-Medical/Surgical Supplies · category DA023N

3 suppliers11 claims146 services$6.99 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

3 suppliers41 claims668 services$9.37 avg. paid by Medicare

Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6242

DME-Medical/Surgical Supplies · category DA023N

2 suppliers17 claims356 services$5.85 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

3 suppliers19 claims1,670 services$0.37 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

2 suppliers158 claims5,547 services$3.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims17 services$76.78 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$34.88 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

4 suppliers39 claims43 services$24.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

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

JODI LYNN MORTENSEN FNP

Nurse Practitioner (Family)

8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3858

MS. GAIL COPE HILTON LCSW

Social Worker (Clinical)

8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-1296

KEVIN C SHILLING MD

Internal Medicine (Sleep Medicine)

8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3617

JESSICA SHIELDS MS, RD, CD

Dietitian, Registered

8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-1760

BRIAN HARDY R.PH.

Pharmacist

8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143

Salt Lake County (801) 520-4653

CLYDE DEJONG FORD M.D.

Internal Medicine (Hematology & Oncology)

8 TH AVENUE AND C ST, BONE MARROW TRANSPLANT
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3729

DR. CHARLES MICHAEL AYERS MD

Hospitalist

8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-5482

MICHELLE REGRUTO M.D.

Hospitalist

8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-5482

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 Mark Martinez's NPI number?

The NPI number for Mark Martinez is 1508861964. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Mark Martinez located?

Mark Martinez practices at 8 Th Avenue And C St, Salt Lake City, UT 84143. The listed phone number is (801) 408-7100.

What is Mark Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Martinez enrolled in Medicare?

Yes. Mark 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 Mark Martinez accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Mark 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.

Is Mark Martinez affiliated with any hospitals?

According to CMS data, Mark Martinez is affiliated with Utah Valley Hospital, Intermountain Medical Center and Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Mark Martinez was last updated on June 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.