HENRY MARTINEZ NP
NPI 1801398235
Nurse Practitioner - Family in San Marcos, TX

Active since March 01, 2018PECOS EnrolledAccepts Medicare Assignment
1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX 78666(512) 353-6400 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2021, Mar 1, 2018 (2 updates tracked since 2018).

About Henry Martinez Np NPPES

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

HENRY MARTINEZ NP (NPI 1801398235) is an individual family provider in San Marcos, Texas, licensed in Texas (AP136638) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801398235
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHENRY MARTINEZCredential: NP
Location Address1340 WONDER WORLD DR STE 4301San Marcos, TX 78666-7695
Mailing Address1301 Wonder World Dr, Attn: Managed CareSan Marcos, TX 78666 · (512) 753-3669 · Fax (512) 753-3689
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 1, 2018
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1801398235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP136638
1340 WONDER WORLD DR STE 4301, San Marcos, TX 78666

Other Identifiers 4

OtherAP136638TX · Advanced Practice Nursing License
OtherP02144918Rr Medicare
Medicaid386463901TX
Other680592Medicare

Accepted 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

Henry Martinez Np 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 ID42572448
PECOS Enrollment IDI20180718003595
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 8

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.
516 services367 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.
257 services181 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
165 services126 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
135 services102 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
47 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 5

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

Clinic/Center (Multi-Specialty)
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666
Audiologist
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666
Nurse Practitioner (Family)
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666
Clinical Nurse Specialist (Adult Health)
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666
Internal Medicine (Cardiovascular Disease)
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666

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 Henry Martinez's NPI number?

The NPI number for Henry Martinez is 1801398235. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Henry Martinez located?

Henry Martinez practices at 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666. The listed phone number is (512) 353-6400.

What is Henry Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Henry Martinez enrolled in Medicare?

Yes. Henry 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.

What insurance does Henry Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Henry Martinez 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.

When was this NPI record last updated?

The NPPES record for Henry Martinez was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.