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GILBERTO MARTINEZ MD
NPI 1851454813
Family Medicine in Fair Oaks, CA

Active since December 19, 2006PECOS Enrolled
6600 MERCY CT STE 100, FAIR OAKS, CA 95628(916) 967-7285(916) 967-7289 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gilberto Martinez Md NPPES

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

GILBERTO MARTINEZ MD (NPI 1851454813) is an individual family medicine provider in Fair Oaks, California, licensed in California (G74682) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1989).

NPPES Registry Identity

NPI1851454813
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGILBERTO MARTINEZCredential: MD
Location Address6600 MERCY CT STE 100Fair Oaks, CA 95628-3154
Mailing Address6600 Mercy Ct Ste 100Fair Oaks, CA 95628-3154 · (916) 967-7285 · Fax (916) 967-7289
Phone(916) 967-7285
Fax(916) 967-7289
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1989
Enumeration DateDecember 19, 2006
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1851454813 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 · G74682
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.

6600 MERCY CT STE 100, Fair Oaks, CA 95628
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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 (PECOS)

Gilberto Martinez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143353557
PECOS Enrollment IDI20100805000864
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
403 services60 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
79 services31 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
50 services24 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
27 services12 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
25 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95628 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 2

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

MS. LIEZEL BERSAMINA NURSE PRACTITIONER
Nurse Practitioner (Family)
6600 MERCY CT STE 100
FAIR OAKS, CA 95628
Sacramento County (916) 966-5404
FAMILY MEDICINE AND AMBULATORY CARE
Family Medicine
6600 MERCY CT STE 100
FAIR OAKS, CA 95628
Sacramento County (916) 967-7285

Frequently Asked Questions

What is Gilberto Martinez's NPI number?

The NPI number assigned to this healthcare provider is 1851454813, enumerated as an "individual" on December 19, 2006.

Where is the provider located?

The provider is located at 6600 MERCY CT STE 100 FAIR OAKS, CA 95628 and the phone number is (916) 967-7285.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.