JAMES B MARTEL MD
NPI 1851312300
Ophthalmology in Rancho Cordova, CA

Q: What is James Martel's NPI number?

The NPI number for James Martel is 1851312300. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is James Martel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for James Martel was last updated on August 23, 2012. 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.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

11216 TRINITY RIVER DR, RANCHO CORDOVA, CA 95670(916) 635-6161(916) 631-3788 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About James B Martel Md NPPES

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

JAMES B MARTEL MD (NPI 1851312300) is an individual ophthalmology provider in Rancho Cordova, California, licensed in California (G60544) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1981).

NPPES Registry Identity

NPI1851312300

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJAMES B MARTELCredential: MD

Location Address11216 TRINITY RIVER DRRancho Cordova, CA 95670-2961

Mailing Address11216 Trinity River DrRancho Cordova, CA 95670-2961 · (916) 635-6161 · Fax (916) 631-3788

Phone(916) 635-6161

Fax(916) 631-3788

Sole ProprietorYes

Medical School CMSHarvard Medical SchoolGraduated 1981

Enumeration DateJuly 21, 2006

Last NPPES UpdateAugust 23, 2012

✔ NPI 1851312300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · G60544

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

11216 TRINITY RIVER DR, Rancho Cordova, CA 95670

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Other Identifiers 1

Medicare UPINE88661CA

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

James B Martel 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 ID3173677663

PECOS Enrollment IDI20090818000631

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 13

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.

538 services274 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

501 services324 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

359 services155 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.

186 services96 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

126 services126 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

110 services85 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

55 services38 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

54 services29 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.

46 services46 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

43 services30 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

37 services27 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.

37 services36 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95670 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%181 patients5/55-star benchmark: 100%

Diabetes: Eye Exam

100%258 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%5,114 patients5/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 100% · 307 patients

Patients screened: 100% · 166 patients

100%38 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%217 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 740 patients

0%740 patients5/55-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.

Other Providers at the Same Location NPPES 15

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

JOSEPH R MARTEL MD INC

Clinic/Center (Ambulatory Surgical)

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

LILIYA GOLAS MD INC

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

JOSEPH R MARTEL MD

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

CHARLES B ROLAND MD PROFESSIONAL CORPORATION

Anesthesiology

11216 TRINITY RIVER DR, #G
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

MRS. TERESITA ALVIAR OANDASAN CRNA

Nurse Anesthetist, Certified Registered

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 759-9191

MARTEL EYE INSTITUTE LLC

Clinic/Center (Ambulatory Surgical)

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 631-7868

LILIYA GOLAS MD

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

LEADING MEDICAL TECHNOLOGIES, INC.

Ophthalmology

11216 TRINITY RIVER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-6161

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 James Martel's NPI number?

The NPI number for James Martel is 1851312300. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is James Martel located?

James Martel practices at 11216 Trinity River Dr, Rancho Cordova, CA 95670. The listed phone number is (916) 635-6161.

What is James Martel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Martel enrolled in Medicare?

Yes. James Martel 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 James Martel was last updated on August 23, 2012. 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.