DR. ANTHONY MARTINEZ MD
NPI 1598983652
Emergency Medicine - Emergency Medical Services in San Antonio, TX
Quality Rating: 99.86 out of 100 score
NPI Status: Active since April 23, 2007
Contact Information
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
Phone: (210) 297-7000
- Individual
- Male
- Emergency Medicine
- Emergency Medical Services
- Accepts Insurance
About ANTHONY MARTINEZ
This page provides the complete NPI Profile along with additional information for Anthony Martinez, a provider established in San Antonio, Texas with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1598983652 assigned on April 2007. The practitioner's primary taxonomy code is 207PE0004X with license number M6281 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1598983652
- Provider Name
- DR. ANTHONY MARTINEZ MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 111 DALLAS ST EMERGENCY ROOM SAN ANTONIO, TX 78205
- Location Phone
- (210) 297-7000
- Mailing Address
- PO BOX 12740 WESTMINSTER, CA 92685
- Mailing Phone
- (562) 468-0227
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-23-2007
- Last Update Date
- 12-07-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M6281
- License State
- TX
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Imperial Preferred Bronze - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Gold Zero - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 187229301 | MEDICAID (05) | TX | |
| 8L17654 | MEDICARE PIN (08) | TX | |
| 187229302 | MEDICAID (05) | TX | |
| 8AH271 | OTHER (01) | TX | BCBSTX |
| 612910 | MEDICARE PIN (08) | TX | |
| P00437292 | MEDICARE PIN (08) | TX |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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.
This service was performed 26 times for 25 patientsAn 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.
This service was performed 63 times for 63 patientsAn 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.
This service was performed 29 times for 29 patientsA 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.
This service was performed 101 times for 87 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.86, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 99.86 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 99.84
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for DR. ANTHONY MARTINEZ MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 9 | 8 | 9 | 8 | 3 | 6 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 18 | 8 | 6 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 8 + 8 + 6 + 6 + 1 + 0 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1598983652 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JOHN TULLY M.D.
Emergency Medicine
(Emergency Medical Services)
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
ROBERT WILLIAM HAMPTON JR. M.D.
Emergency Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
LAWRENCE G TATUM M.D.
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX
ZIP 78205
DR. JAMES SMULLIN POTYKA M.D.
Personal Emergency Response Attendant
111 DALLAS ST
SAN ANTONIO, TX
ZIP 78205
DR. TIMOTHY NICKOLAS TAYLOR M.D.
Emergency Medicine
(Emergency Medical Services)
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
DR. DAVID ALAN ROBERTS M.D.
Emergency Medicine
(Emergency Medical Services)
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
JEFFREY D. HOEFLE M.D.
Emergency Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
JAMES DAVIDSON MD
Emergency Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
MARCUS CHRISTOPHER MD
Emergency Medicine
111 DALLAS ST
EMERGENCY DEPT
SAN ANTONIO, TX
ZIP 78205
LANCE F. BROWN M.D.
Emergency Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
BYRON CADWALLADER FREEMYER M.D.
Emergency Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
DR. RICHARD LEE HOLT D.O.
Emergency Medicine
(Emergency Medical Services)
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
CHARLES P SINGSTAD M.D.
Emergency Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
DANIEL CRAWFORD TUBBESING MD
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX
ZIP 78205
DAREN HAROLD HERSH M.D.
Emergency Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
JOHN F SMITH MD
Emergency Medicine
(Emergency Medical Services)
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
HOWARD THOMAS WELLS M.D.
Internal Medicine
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
DR. KELLY SLAYTON SCHLOSBERG M.D.
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX
ZIP 78205
DR. ROBERT MEDELL GONZALEZ M.D.
Emergency Medicine
(Emergency Medical Services)
111 DALLAS ST
SAN ANTONIO, TX
ZIP 78205
DR. GRACIA G. RAMIREZ MD
Emergency Medicine
(Emergency Medical Services)
111 DALLAS ST
EMERGENCY ROOM
SAN ANTONIO, TX
ZIP 78205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598983652, enumerated as an "individual" on April 23, 2007.
The provider is located at 111 DALLAS ST EMERGENCY ROOM SAN ANTONIO, TX 78205 and the phone number is (210) 297-7000.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.
