DR. GILBERTO VEGA-MARTINEZ MD, PT
NPI 1710187786
Family Medicine - Sports Medicine in Edgewater, FL

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
239 N RIDGEWOOD AVE, EDGEWATER, FL 32132(386) 427-4868(386) 427-6350 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Jul 17, 2023, Jul 11, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Gilberto Vega-martinez Md, Pt NPPES

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

DR. GILBERTO VEGA-MARTINEZ MD, PT (NPI 1710187786) is an individual sports medicine provider in Edgewater, Florida, licensed in Florida (ME152251) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710187786
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. GILBERTO VEGA-MARTINEZCredential: MD, PT
Location Address239 N RIDGEWOOD AVEEdgewater, FL 32132-1734
Mailing Address3026 Meleto BlvdNew Smyrna Beach, FL 32168-6513 · (407) 453-4541
Fax(386) 427-6350
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2007
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1710187786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in FL · ME152251
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 23335 (FL)
239 N RIDGEWOOD AVE, Edgewater, FL 32132

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

Dr. Gilberto Vega-martinez Md, Pt 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 ID8921340381
PECOS Enrollment IDI20230807001129
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 Reassignments

2

Medicare enrollment records show Gilberto Vega-martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1400 DUNLAWTON AVE UNIT 1-A
Port Orange, FL 32127
  • Reassigned Medicare billing, Florida enrollment
  • 103 clinicians in this Medicare group
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group

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 32132 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 10

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

Nurse Practitioner (Family)
239 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Family Medicine
239 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Counselor (Addiction (Substance Use Disorder))
239 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Family Medicine
239 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Family Medicine
239 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Social Worker (Clinical)
239 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Hospitalist
239 N RIDGEWOOD AVE, SUITE 1
EDGEWATER, FL 32132
Pharmacist
239 N RIDGEWOOD AVE
EDGEWATER, FL 32132

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 Gilberto Vega-martinez's NPI number?

The NPI number for Gilberto Vega-martinez is 1710187786. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Gilberto Vega-martinez located?

Gilberto Vega-martinez practices at 239 N Ridgewood Ave, Edgewater, FL 32132. The listed phone number is (386) 427-4868.

What is Gilberto Vega-martinez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Gilberto Vega-martinez enrolled in Medicare?

Yes. Gilberto Vega-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 organizations bill Medicare for Gilberto Vega-martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilberto Vega-martinez reassigns Medicare benefits to 2 organizations: Medfast Urgent Care Centers, LLC (Port Orange, FL) and Florida Health Care Plan, Inc (Daytona Beach, FL). Each 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 Gilberto Vega-martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gilberto Vega-martinez was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.