RAFAEL MARTINEZ M.D.
NPI 1942217278
Family Medicine in San Antonio, TX

Q: What is Rafael Martinez's NPI number?

The NPI number for Rafael Martinez is 1942217278. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Rafael Martinez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rafael Martinez was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 01, 2006PECOS EnrolledAccepts Medicare Assignment

315 N SAN SABA STE 103, SAN ANTONIO, TX 78207(210) 922-7000(210) 738-8644 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Rafael Martinez M.d. NPPES

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

RAFAEL MARTINEZ M.D. (NPI 1942217278) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (H6412) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1988).

NPPES Registry Identity

NPI1942217278

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAFAEL MARTINEZCredential: M.D.

Location Address315 N SAN SABA STE 103San Antonio, TX 78207-3196

Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 922-7000 · Fax (210) 738-8864

Phone(210) 922-7000

Fax(210) 738-8644

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1988

Enumeration DateAugust 1, 2006

Last NPPES UpdateMarch 26, 2019

✔ NPI 1942217278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H6412

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.

315 N SAN SABA STE 103, San Antonio, TX 78207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and more.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

Rafael Martinez M.d. 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 ID1951594977

PECOS Enrollment IDI20101022000824

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers15 claims90 services$1.68 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$3.24 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$200.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DONNA L. GARCIA FNP

Nurse Practitioner (Family)

315 N SAN SABA STE 103
SAN ANTONIO, TX 78207

Bexar County (210) 738-8222

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 1942217278. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Rafael Martinez located?

Rafael Martinez practices at 315 N San Saba Ste 103, San Antonio, TX 78207. The listed phone number is (210) 922-7000.

What is Rafael Martinez's specialty?

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

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.

What insurance does Rafael Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Rafael Martinez 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.

When was this NPI record last updated?

The NPPES record for Rafael Martinez was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.