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MARIO D. MARTINEZ M.D.
NPI 1801183181
Family Medicine in Selma, CA

Active since July 07, 2011PECOS EnrolledAccepts Medicare Assignment
88.98/100
CMS Quality Rating
1041 ROSE AVE, SELMA, CA 93662(559) 856-6090(559) 856-6092 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mario D. Martinez M.d. NPPES

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

MARIO D. MARTINEZ M.D. (NPI 1801183181) is an individual family medicine provider in Selma, California, licensed in California (A126016) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801183181
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARIO D. MARTINEZCredential: M.D.
Location Address1041 ROSE AVESelma, CA 93662-3240
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 856-6090
Fax(559) 856-6092
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 7, 2011
Last NPPES UpdateOctober 23, 2014
✔ NPI 1801183181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A126016
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1041 ROSE AVE, Selma, CA 93662
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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

Mario D. Martinez M.d. 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 ID1850529645
PECOS Enrollment IDI20140125000297
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 3

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.

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.
280 services90 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
69 services65 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93662 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

88.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.44
Promoting Interoperability100
Improvement Activities40
Cost61.9

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims62 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims17 services$1.18 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier47 claims1,600 services$11.04 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
1 supplier48 claims333 services$221.47 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier46 claims319 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier47 claims333 services$25.10 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 18

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

GARCIA MEDICAL CORPORATION
Obstetrics & Gynecology
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 783-1181
SANG-MIN CHANG
Internal Medicine
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 856-6092
PRISCILLA CAREY NP
Nurse Practitioner
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 856-6090
REEDLEY COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 587-4349
MRS. SOCORRO MARQUEZ DIAZ FNP
Nurse Practitioner (Family)
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 856-6090
YE MIN M.D.
Family Medicine
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 891-6415
MS. KATHLEEN KELLEY FNP
Nurse Practitioner (Family)
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 856-6090
BRUNO GARCIA M.D.
Family Medicine
1041 ROSE AVE
SELMA, CA 93662
Fresno County (559) 783-1181

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 Mario Martinez's NPI number?

The NPI number for Mario Martinez is 1801183181. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Mario Martinez located?

Mario Martinez practices at 1041 Rose Ave, Selma, CA 93662. The listed phone number is (559) 856-6090.

What is Mario Martinez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mario Martinez enrolled in Medicare?

Yes. Mario 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.

When was this NPI record last updated?

The NPPES record for Mario Martinez was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.