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MARCO A MARTINEZ PA
NPI 1629700869
Physician Assistant in Alton, TX

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
306 E MAIN AVE STE 6, ALTON, TX 78573(956) 597-3005(855) 576-4965 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marco A Martinez Pa NPPES

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

MARCO A MARTINEZ PA (NPI 1629700869) is an individual physician assistant in Alton, Texas, licensed in Texas (PA17042) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and maintains a secondary practice location in Edinburg.

NPPES Registry Identity

NPI1629700869
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARCO A MARTINEZCredential: PA
Location Address306 E MAIN AVE STE 6Alton, TX 78573-6955
Mailing Address2107 Joy StEdinburg, TX 78539-6061 · (956) 975-8401
Phone(956) 597-3005
Fax(855) 576-4965
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2022
Last NPPES UpdateMay 5, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1629700869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA17042
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA17042 (TX)
306 E MAIN AVE STE 6, Alton, TX 78573
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Secondary Practice Location 1

Location 12107 Joy StEdinburg, TX 78539-6061 · Phone (956) 975-8401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Marco A Martinez Pa 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 ID3870030554
PECOS Enrollment IDI20240730003244
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.

Hospital Affiliations CMS Care Compare 3

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450855
Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78573 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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 Marco Martinez's NPI number?

The NPI number for Marco Martinez is 1629700869. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Marco Martinez located?

Marco Martinez practices at 306 E Main Ave Ste 6, Alton, TX 78573. The listed phone number is (956) 597-3005.

What is Marco Martinez's specialty?

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

Is Marco Martinez enrolled in Medicare?

Yes. Marco 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 Marco Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas list Marco 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 Marco Martinez affiliated with any hospitals?

According to CMS data, Marco Martinez is affiliated with Vhs Harlingen Hospital Company LLC, Harlingen Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Marco Martinez was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.