JAMES MARTINEZ CRNP
NPI 1699205385
Nurse Practitioner - Family in Birmingham, AL

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235(205) 838-3000 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About James Martinez Crnp NPPES

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

JAMES MARTINEZ CRNP (NPI 1699205385) is an individual family provider in Birmingham, Alabama, licensed in Alabama (F06170062) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699205385
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES MARTINEZCredential: CRNP
Location Address50 MEDICAL PARK DR EBirmingham, AL 35235-3401
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2017
Last NPPES UpdateMay 26, 20264 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1699205385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · F06170062
50 MEDICAL PARK DR E, Birmingham, AL 35235

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

James Martinez Crnp 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 ID3173876083
PECOS Enrollment IDI20181023001792
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 35235 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%687 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%111 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%564 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%564 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
46%564 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
48%564 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Pharmacist
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Internal Medicine
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Emergency Medicine
50 MEDICAL PARK DR E, ST. VINCENT'S EAST
BIRMINGHAM, AL 35235
Prosthetic/Orthotic Supplier
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Registered Nurse (Critical Care Medicine)
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Student in an Organized Health Care Education/Training Program
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Family Medicine
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235

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 James Martinez's NPI number?

The NPI number for James Martinez is 1699205385. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is James Martinez located?

James Martinez practices at 50 Medical Park Dr E, Birmingham, AL 35235. The listed phone number is (205) 838-3000.

What is James Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Martinez enrolled in Medicare?

Yes. James 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 James Martinez accept?

Health plans from Blue Cross and Blue Shield of Alabama list James 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 James Martinez was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.