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MS. LIRA R MARTINEZ PA-C
NPI 1609152065
Physician Assistant in Appleton, WI

Active since October 31, 2011PECOS EnrolledAccepts Medicare Assignment
1501 S MADISON ST, APPLETON, WI 54915(920) 730-4443 Get Directions Write a Review

NPPES record last updated: September 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lira R Martinez Pa-c NPPES

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

MS. LIRA R MARTINEZ PA-C (NPI 1609152065) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (2850) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of University Of Wisconsin School Of Medicine (2011).

NPPES Registry Identity

NPI1609152065
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LIRA R MARTINEZCredential: PA-C
Location Address1501 S MADISON STAppleton, WI 54915-1846
Mailing AddressPo Box 1047Neenah, WI 54957-1047
Phone(920) 730-4443
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2011
Enumeration DateOctober 31, 2011
Last NPPES UpdateSeptember 15, 2012
✔ NPI 1609152065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 2850
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1501 S MADISON ST, Appleton, WI 54915
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground 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

Ms. Lira R Martinez Pa-c 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 ID4183899941
PECOS Enrollment IDI20111207000393
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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
154 services91 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.
99 services76 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
75 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 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.
32 services29 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

DR. MAYKONG LEEPALAO M.D.
Surgery
1501 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4435
KRISTIN G ANDERSON RN,APNP
Nurse Practitioner
1501 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 738-2000
MRS. ANTONET KAY WOODS FNP-BC
Nurse Practitioner (Family)
1501 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3716
PING D LADY M.D.
Surgery
1501 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4435
MARCI E MESSERSCHMIDT APNP
Nurse Practitioner
1501 S MADISON ST, SURGERY DEPT
APPLETON, WI 54915
Calumet County (920) 730-4435
DEEANN D B REECE MD
Specialist/Technologist, Other (Surgical Technologist)
1501 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4435
DR. TODD ANDREW MEYER D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1501 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4443
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Clinic/Center (Multi-Specialty)
1501 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 738-2000

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 Lira Martinez's NPI number?

The NPI number for Lira Martinez is 1609152065. It was assigned to this individual provider in the NPPES registry on October 31, 2011.

Where is Lira Martinez located?

Lira Martinez practices at 1501 S Madison St, Appleton, WI 54915. The listed phone number is (920) 730-4443.

What is Lira Martinez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lira Martinez enrolled in Medicare?

Yes. Lira 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 Lira Martinez accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Lira 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 Lira Martinez affiliated with any hospitals?

According to CMS data, Lira Martinez is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Lira Martinez was last updated on September 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.