JOSE MARTINEZ MD
NPI 1669556775
Pediatrics - Pediatric Gastroenterology in Nashville, TN

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2020, Mar 19, 2019 (2 updates tracked since 2019).

About Jose Martinez Md NPPES

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

JOSE MARTINEZ MD (NPI 1669556775) is an individual pediatric gastroenterology provider in Nashville, Tennessee, licensed in Tennessee (MD39428) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1999).

NPPES Registry Identity

NPI1669556775
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameJOSE MARTINEZCredential: MD
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1999
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
NPI 1669556775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in TN · MD39428
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
3601 TVC, Nashville, TN 37232

Accepted 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

Jose Martinez 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 ID5991746273
PECOS Enrollment IDI20050517000610
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Surgery
3601 TVC
NASHVILLE, TN 37232
Anesthesiology
3601 TVC
NASHVILLE, TN 37232

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 Jose Martinez's NPI number?

The NPI number for Jose Martinez is 1669556775. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Jose Martinez located?

Jose Martinez practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Jose Martinez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jose Martinez enrolled in Medicare?

Yes. Jose 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 Jose Martinez accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Jose 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 Jose Martinez was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.