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DR. ALBERTO MARTINEZ-ARIZALA MD
NPI 1770576068
Psychiatry & Neurology - Neurology in Miami, FL

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1201 NW 16TH ST, MIAMI VA MEDICAL CENTER, SCI- 128, MIAMI, FL 33125(305) 575-3174(305) 575-3161 Get Directions Write a Review

NPPES record last updated: February 15, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Alberto Martinez-arizala Md NPPES

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

DR. ALBERTO MARTINEZ-ARIZALA MD (NPI 1770576068) is an individual neurology provider in Miami, Florida, licensed in Florida (ME 45547) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1979).

NPPES Registry Identity

NPI1770576068
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ALBERTO MARTINEZ-ARIZALACredential: MD
Location Address1201 NW 16TH ST, MIAMI VA MEDICAL CENTER, SCI- 128Miami, FL 33125-1624
Mailing Address1201 Nw 16th St, Miami Va Medical CenterMiami, FL 33125-1624 · (305) 575-3174 · Fax (305) 575-3161
Phone(305) 575-3174
Fax(305) 575-3161
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1979
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 15, 2013
✔ NPI 1770576068 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 FL · ME 45547
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.
1201 NW 16TH ST, Miami, FL 33125
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Other Identifiers 1

Medicare UPINF0448FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Dr. Alberto Martinez-arizala 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 ID1759415094
PECOS Enrollment IDI20100823000223
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.24
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
2%60 patients
Breast Cancer Screening
31%173 patients2/55-star benchmark: 93%
Cervical Cancer Screening
21%214 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
28%392 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
69%114 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
29%48 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
50%48 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%942 patients5/55-star benchmark: 100%
e-Prescribing
100%210 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%178 patients4/55-star benchmark: 100%
HIV Screening
24%468 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
79%424 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
94%481 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%461 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 233 patients
99%233 patients
Provide Patients Electronic Access to Their Health Information
100%210 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 15% · 193 patients
Patients totalRate: 21% · 193 patients
14%193 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
3 suppliers29 claims5,800 services$6.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IRWIN SINGER M.D.
Internal Medicine (Nephrology)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-3160
MARIE M FRANCOIS RN
Registered Nurse
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-7000
MARIA ADELAIDA ISAZA LCSW
Social Worker (Clinical)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 927-0430
PAUL JAMIE DINOV RDN
Dietitian, Registered
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 325-3325
MR. WAYNE KADIS MSW
Social Worker (Clinical)
1201 NW 16TH ST, SOCIAL WORK SERVICE (122)
MIAMI, FL 33125
Miami-Dade County (305) 324-4455
DR. MAYRA GISELLE TORRES DMD
Dentist (General Practice)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-3146
MR. RAFAL ROBERT WOJCIK LCSW
Social Worker (Clinical)
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (786) 295-5626
CHRISTOPHER RUSS CHA PHARM.D.
Pharmacist
1201 NW 16TH ST
MIAMI, FL 33125
Miami-Dade County (305) 575-7000

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 Alberto Martinez-arizala's NPI number?

The NPI number for Alberto Martinez-arizala is 1770576068. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Alberto Martinez-arizala located?

Alberto Martinez-arizala practices at 1201 NW 16th St Miami VA Medical Center, Sci- 128, Miami, FL 33125. The listed phone number is (305) 575-3174.

What is Alberto Martinez-arizala's specialty?

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

Is Alberto Martinez-arizala enrolled in Medicare?

Yes. Alberto Martinez-arizala 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 Alberto Martinez-arizala accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Alberto Martinez-arizala 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.

Is Alberto Martinez-arizala affiliated with any hospitals?

According to CMS data, Alberto Martinez-arizala is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Alberto Martinez-arizala was last updated on February 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.