RYAN MARTINEZ MD, PHD
NPI 1710476478
Pathology - Molecular Genetic Pathology in Minneapolis, MN

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455(612) 624-8133 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2023, May 8, 2018 (2 updates tracked since 2018).

About Ryan Martinez Md, Phd NPPES

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

RYAN MARTINEZ MD, PHD (NPI 1710476478) is an individual molecular genetic pathology provider in Minneapolis, Minnesota, licensed in Minnesota (1710476478) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1710476478
Entity TypeIndividualMale
Primary Taxonomy207ZP0007X
Provider Legal NameRYAN MARTINEZCredential: MD, PHD
Location Address420 DELAWARE ST SE, MMC 609, MAYO D142Minneapolis, MN 55455
Mailing Address420 Delaware St Se, Mmc 609, Mayo D142Minneapolis, MN 55455 · (612) 624-8133
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateMay 8, 2018
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1710476478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Molecular Genetic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0007X
License✔ Licensed in MN · 1710476478
Definition
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.
420 DELAWARE ST SE, Minneapolis, MN 55455

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

Ryan Martinez Md, Phd 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 ID8123376241
PECOS Enrollment IDI20230331000642
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

5

Medicare enrollment records show Ryan Martinez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Molecular pathology procedure; physician interpretation and report G0452
A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.
122 services88 patients

Hospital Affiliations CMS Care Compare 3

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

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.

Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

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 Ryan Martinez's NPI number?

The NPI number for Ryan Martinez is 1710476478. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Ryan Martinez located?

Ryan Martinez practices at 420 Delaware St SE Mmc 609, Mayo D142, Minneapolis, MN 55455. The listed phone number is (612) 624-8133.

What is Ryan Martinez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Molecular Genetic Pathology, with taxonomy code 207ZP0007X.

Is Ryan Martinez enrolled in Medicare?

Yes. Ryan 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 Ryan Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Martinez reassigns Medicare benefits to 5 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). 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 Ryan Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ryan Martinez affiliated with any hospitals?

According to CMS data, Ryan Martinez is affiliated with M Health Fairview Southdale Hospital, M Health Fairview University Of Mn and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Martinez was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.