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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: August 16, 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 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.
216 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
178 services42 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.
77 services33 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
35 services11 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.
31 services16 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.
20 services20 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 3

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

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

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 Gilberto Martinez's NPI number?

The NPI number for Gilberto Martinez is 1851454813. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Gilberto Martinez located?

Gilberto Martinez practices at 6600 Mercy Ct Ste 100, Fair Oaks, CA 95628. The listed phone number is (916) 967-7285.

What is Gilberto Martinez's specialty?

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

Is Gilberto Martinez enrolled in Medicare?

Yes. Gilberto Martinez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gilberto Martinez was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.