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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TOMAS JAVIER MARTINEZ III MD
NPI 1659937787
Psychiatry & Neurology - Neurology in San Antonio, TX

Active since May 14, 2019PECOS EnrolledAccepts Medicare Assignment
1055 ADA ST STE 310, SAN ANTONIO, TX 78223(210) 358-5515(210) 358-5595 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, May 27, 2026, May 14, 2019 (3 updates tracked since 2019).

About Tomas Javier Martinez Iii Md NPPES

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

TOMAS JAVIER MARTINEZ III MD (NPI 1659937787) is an individual neurology provider in San Antonio, Texas, licensed in Texas (W2537) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659937787
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTOMAS JAVIER MARTINEZ IIICredential: MD
Location Address1055 ADA ST STE 310San Antonio, TX 78223-1703
Mailing Address1055 Ada StSan Antonio, TX 78223-1703 · (210) 358-5515 · Fax (210) 358-5530
Phone(210) 358-5515
Fax(210) 358-5595
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 14, 2019
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1659937787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · W2537
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1055 ADA ST STE 310, San Antonio, TX 78223
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Community First.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

Tomas Javier Martinez Iii Md 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 ID42547416
PECOS Enrollment IDI20260526004139
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 Tomas Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates
4.4 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78223 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA CRUZ GARCIA MD
Family Medicine
1055 ADA ST STE 310
SAN ANTONIO, TX 78223
Bexar County (210) 358-5515

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 Tomas Martinez's NPI number?

The NPI number for Tomas Martinez is 1659937787. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Tomas Martinez located?

Tomas Martinez practices at 1055 Ada St Ste 310, San Antonio, TX 78223. The listed phone number is (210) 358-5515.

What is Tomas Martinez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tomas Martinez enrolled in Medicare?

Yes. Tomas 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 Tomas Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tomas Martinez reassigns Medicare benefits to Community Medicine Associates (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 Tomas Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tomas Martinez accept?

Health plans from Baylor Scott and White Health Plan and Community First list Tomas 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 Tomas Martinez was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.