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RAUL GERARDO MARTINEZ M.D.
NPI 1538168703
Pain Medicine - Pain Medicine in San Antonio, TX

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
3202 CHERRY RIDGE DR, SAN ANTONIO, TX 78230(210) 441-4333(210) 441-4330 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2023, May 13, 2020 (2 updates tracked since 2020).

About Raul Gerardo Martinez M.d. NPPES

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

RAUL GERARDO MARTINEZ M.D. (NPI 1538168703) is an individual pain medicine provider in San Antonio, Texas, licensed in Texas (J9906) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Medical School At San Antonio (1994).

NPPES Registry Identity

NPI1538168703
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameRAUL GERARDO MARTINEZCredential: M.D.
Location Address3202 CHERRY RIDGE DRSan Antonio, TX 78230-4806
Mailing AddressPo Box 2208San Antonio, TX 78298-2208 · (210) 805-9800 · Fax (210) 805-8770
Phone(210) 441-4333
Fax(210) 441-4330
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1994
Enumeration DateJuly 19, 2005
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1538168703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in TX · J9906
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
3202 CHERRY RIDGE DR, San Antonio, TX 78230
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Secondary Practice Locations 3

Location 17003 S New Braunfels Ave Ste 106San Antonio, TX 78223-4589 · Phone (210) 441-4333 · Fax (210) 441-4330
Location 27525 N Loop 1604 E Ste 128Live Oak, TX 78233-2604 · Phone (210) 441-4333 · Fax (210) 441-4330
Location 33202 Cherry Ridge Dr Ste 103San Antonio, TX 78230-4830 · Phone (210) 441-4333 · Fax (210) 441-4330

Other Identifiers 2

Medicaid116615905TX
Medicaid116615901TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raul Gerardo 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 ID9638111685
PECOS Enrollment IDI20050531000810
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.

Medicare Billing Reassignment

Medicare enrollment records show Raul Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Pain Partners PLLC
Same address
Pain Medicine
3202 CHERRY RIDGE DR STE 103
San Antonio, TX 78230
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1972330355 (210) 805-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78230 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.69
Promoting Interoperability100
Improvement Activities40
Cost39.76

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
1 supplier12 claims12 services$410.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Raul Martinez's NPI number?

The NPI number for Raul Martinez is 1538168703. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Raul Martinez located?

Raul Martinez practices at 3202 Cherry Ridge Dr, San Antonio, TX 78230. The listed phone number is (210) 441-4333.

What is Raul Martinez's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Raul Martinez enrolled in Medicare?

Yes. Raul 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.

Which organization bills Medicare for Raul Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Martinez reassigns Medicare benefits to Texas Pain Partners PLLC (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul 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 6 other insurers list Raul 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 Raul Martinez was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.