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MICHAEL F MARTINEZ MD, FACS
NPI 1780638445
Surgery in Palmerton, PA

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
255 DELAWARE AVE, PALMERTON, PA 18071(610) 826-4595(610) 826-4399 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael F Martinez Md, Facs NPPES

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

MICHAEL F MARTINEZ MD, FACS (NPI 1780638445) is an individual surgery provider in Palmerton, Pennsylvania, licensed in Pennsylvania (MD063535L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Hahnemann University College Of Medicine (1995).

NPPES Registry Identity

NPI1780638445
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL F MARTINEZCredential: MD, FACS
Location Address255 DELAWARE AVEPalmerton, PA 18071-1812
Mailing Address255 Delaware AvePalmerton, PA 18071-1812 · (610) 826-4595 · Fax (610) 826-4399
Phone(610) 826-4595
Fax(610) 826-4399
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1995
Enumeration DateMay 19, 2006
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1780638445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD063535L
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
255 DELAWARE AVE, Palmerton, PA 18071
Open in Google Maps ↗

Other Identifiers 6

Medicaid0017949770002PA
Medicare OSCAR/certification037564NSYPA
OtherCH1856PA · Railroad Medicare
Medicaid001794977PA
Medicare ID-Type Unspecified037564PA
Medicare UPINH14845PA

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

Michael F Martinez Md, Facs 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 ID2466423207
PECOS Enrollment IDI20040804000936
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 10

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 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.
160 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services38 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.
33 services33 patients
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.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18071 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

ST LUKE'S PHYSICIAN GROUP, INC
Surgery
255 DELAWARE AVE
PALMERTON, PA 18071
Carbon County (610) 826-4595
ALEXANDROS DIMITRIADIS PA-C
Physician Assistant
255 DELAWARE AVE
PALMERTON, PA 18071
Carbon County (610) 826-4595
CARBON SURGICAL ASSOCIATES, PC
Surgery
255 DELAWARE AVE
PALMERTON, PA 18071
Carbon County (610) 826-4595
DR. ALI LINSK BUTASH M.D.
Surgery
255 DELAWARE AVE
PALMERTON, PA 18071
Carbon County (484) 822-5850

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 Michael Martinez's NPI number?

The NPI number for Michael Martinez is 1780638445. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Michael Martinez located?

Michael Martinez practices at 255 Delaware Ave, Palmerton, PA 18071. The listed phone number is (610) 826-4595.

What is Michael Martinez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Martinez enrolled in Medicare?

Yes. Michael 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.

Is Michael Martinez affiliated with any hospitals?

According to CMS data, Michael Martinez is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, St Luke's Hospital - Monroe Campus, Geisinger St. Luke's Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Michael Martinez was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.