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DR. JOSEPH LIONEL MARTINEZ M.D.
NPI 1528398203
Neurological Surgery in Lubbock, TX

Active since January 02, 2010PECOS EnrolledAccepts Medicare Assignment
28.87/100
CMS Quality Rating
6102 82ND ST STE 9, LUBBOCK, TX 79424(806) 796-3000 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 29, 2021, Feb 12, 2021, Jan 25, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Joseph Lionel Martinez M.d. NPPES

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

DR. JOSEPH LIONEL MARTINEZ M.D. (NPI 1528398203) is an individual neurological surgery provider in Lubbock, Texas, licensed in Texas (N9901) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Conroe, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1528398203
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JOSEPH LIONEL MARTINEZCredential: M.D.
Location Address6102 82ND ST STE 9Lubbock, TX 79424-0802
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301
Phone(806) 796-3000
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2003
Enumeration DateJanuary 2, 2010
Last NPPES UpdateApril 29, 20216 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1528398203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in TX · N9901✔ Licensed in FL · TRN 13342
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
6102 82ND ST STE 9, Lubbock, TX 79424
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19180 Pinecroft Dr Ste 500Shenandoah, TX 77380-3883 · Phone (713) 897-5900
Location 218955 N Memorial Dr Ste 360Humble, TX 77338-4396 · Phone (281) 319-8530
Location 33502 9th St Ste 430Lubbock, TX 79415-3368 · Phone (806) 761-0535 · Fax (806) 761-0534

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Lionel 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 ID2062691967
PECOS Enrollment IDI20110909002473
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 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.
13 services12 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.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450638
Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79424 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

28.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality12.23
Promoting Interoperability0
Improvement Activities20
Cost59.03

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 Joseph Martinez's NPI number?

The NPI number for Joseph Martinez is 1528398203. It was assigned to this individual provider in the NPPES registry on January 2, 2010.

Where is Joseph Martinez located?

Joseph Martinez practices at 6102 82nd St Ste 9, Lubbock, TX 79424. The listed phone number is (806) 796-3000.

What is Joseph Martinez's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Joseph Martinez enrolled in Medicare?

Yes. Joseph 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 Joseph Martinez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Joseph 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 Joseph Martinez affiliated with any hospitals?

According to CMS data, Joseph Martinez is affiliated with Hca Houston Healthcare Conroe, Hca Houston Healthcare Northwest and Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for Joseph Martinez was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.