PEDRO J MARTINEZ PITRE MD
NPI 1932587458
Internal Medicine - Nephrology in Waco, TX

Active since May 16, 2015PECOS EnrolledAccepts Medicare Assignment
5940 CROSSLAKE PKWY, WACO, TX 76712(254) 666-8988(254) 666-6000 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Apr 22, 2024, May 4, 2023 and 1 more (4 updates tracked since 2019).

About Pedro J Martinez Pitre Md NPPES

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

PEDRO J MARTINEZ PITRE MD (NPI 1932587458) is an individual nephrology provider in Waco, Texas, licensed in Texas (V0042) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932587458
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePEDRO J MARTINEZ PITRECredential: MD
Location Address5940 CROSSLAKE PKWYWaco, TX 76712-6986
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Fax(254) 666-6000
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2015
Enumeration DateMay 16, 2015
Last NPPES UpdateJuly 23, 20244 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
NPI 1932587458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · V0042
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 298273 (NY), 327412 (LA), V0042 (TX)
5940 CROSSLAKE PKWY, Waco, TX 76712

Secondary Practice Locations 2

Location 1374 Stockholm StBrooklyn, NY 11237-4006 · Phone (718) 963-7272
Location 21514 Jefferson HwyNew Orleans, LA 70121-2429 · Phone (504) 842-7518 · Fax (504) 842-2644

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

Pedro J Martinez Pitre 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 ID941535116
PECOS Enrollment IDI20240612000139
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 9

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 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.
52 services50 patients
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.
49 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services23 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
28 services16 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

Adventhealth Rollins Brook

Critical Access Hospitals · Lampasas, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451323
Location608 North Key AvenueLampasas, TX 76550 · Lampasas County
Emergency services

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670080
Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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 8

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

Nurse Practitioner
5940 CROSSLAKE PKWY
WACO, TX 76712
Internal Medicine (Nephrology)
5940 CROSSLAKE PKWY
WACO, TX 76712
Internal Medicine (Nephrology)
5940 CROSSLAKE PKWY
WACO, TX 76712
Internal Medicine (Nephrology)
5940 CROSSLAKE PKWY
WACO, TX 76712
Internal Medicine (Nephrology)
5940 CROSSLAKE PKWY
WACO, TX 76712
Internal Medicine (Nephrology)
5940 CROSSLAKE PKWY
WACO, TX 76712
Internal Medicine (Nephrology)
5940 CROSSLAKE PKWY
WACO, TX 76712
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5940 CROSSLAKE PKWY
WACO, TX 76712

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 Pedro Martinez Pitre's NPI number?

The NPI number for Pedro Martinez Pitre is 1932587458. It was assigned to this individual provider in the NPPES registry on May 16, 2015.

Where is Pedro Martinez Pitre located?

Pedro Martinez Pitre practices at 5940 Crosslake Pkwy, Waco, TX 76712. The listed phone number is (254) 666-8988.

What is Pedro Martinez Pitre's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pedro Martinez Pitre enrolled in Medicare?

Yes. Pedro Martinez Pitre 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 Pedro Martinez Pitre accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Pedro Martinez Pitre 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.

Is Pedro Martinez Pitre affiliated with any hospitals?

According to CMS data, Pedro Martinez Pitre is affiliated with Baylor Scott & White Medical Center - Temple, Adventhealth Central Texas, Adventhealth Rollins Brook and Seton Medical Center Harker Heights.

When was this NPI record last updated?

The NPPES record for Pedro Martinez Pitre was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.