RAFAEL MARTINEZ MD
NPI 1861554180
Anesthesiology in Scranton, PA
About Rafael Martinez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAFAEL MARTINEZ MD (NPI 1861554180) is an individual anesthesiology provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD431183) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Bryn Mawr.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 8
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rafael Martinez 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.
Medicare Billing Reassignments
6Medicare enrollment records show Rafael Martinez reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scranton, PA 18510
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Hazleton, PA 18201
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hazleton Anesthesia Services PC
- 81 clinicians in this Medicare group
Reading, PA 19605
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Radnor, PA 19087
- Reassigned Medicare billing, Pennsylvania enrollment
- 983 clinicians in this Medicare group
Philadelphia, PA 19115
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Wynnewood, PA 19096
- Reassigned Medicare billing, Pennsylvania enrollment
- 489 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PABryn Mawr Hospital
Acute Care Hospitals · Bryn Mawr, PAMain Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PAMedicare 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rafael Martinez's NPI number?
The NPI number for Rafael Martinez is 1861554180. It was assigned to this individual provider in the NPPES registry on December 14, 2006. The provider is also known as Rafael Ernesto Martinez-Ruiz MD.
Where is Rafael Martinez located?
Rafael Martinez practices at 1800 Mulberry St, Scranton, PA 18510. The listed phone number is (570) 703-8259.
What is Rafael Martinez's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Rafael Martinez enrolled in Medicare?
Yes. Rafael 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.
Which organizations bill Medicare for Rafael Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Martinez reassigns Medicare benefits to 6 organizations: Geisinger Clinic (Scranton, PA), Hazleton Anesthesia Services, P.C. (Hazleton, PA), Tower Health Medical Group (Reading, PA), Clinical Care Associates Of The University Of Pennsylvania Health (Radnor, PA), Einstein Practice Plan Inc (Philadelphia, PA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafael Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Rafael Martinez affiliated with any hospitals?
According to CMS data, Rafael Martinez is affiliated with Geisinger-Community Medical Center, Bryn Mawr Hospital and Main Line Hospital Lankenau.
When was this NPI record last updated?
The NPPES record for Rafael Martinez was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Rafael Martinez, MD · NPI 1861554180
Anesthesiology physician in Scranton, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1861554180 (Entity type: Individual)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** MD431183 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 MULBERRY ST, Scranton, PA 18510-2369
- **Phone:** (570) 703-8259 · **Fax:** (570) 703-7250
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1023067493, Scranton, PA); Hazleton Anesthesia Services, P.C. (NPI 1073841698, Hazleton, PA); Tower Health Medical Group (NPI 1093266140, Reading, PA); Clinical Care Associates Of The University Of Pennsylvania Health (NPI 1972682995, Radnor, PA); Einstein Practice Plan Inc (NPI 1922050509, Philadelphia, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 5, 2025
- **Other identifiers:** Other 2849065000 (PA); Other 30042529 (PA); Medicaid 1018097010001 (PA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1861554180) · Data from the CMS NPPES public registry.