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JOSEPH A MARTINEZ MD
NPI 1942254297
Family Medicine in West View, PA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
1020 CENTER AVE, WEST VIEW, PA 15229(412) 931-3066(412) 931-2464 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Oct 11, 2020, May 2, 2018 and 2 more (5 updates tracked since 2017).

About Joseph A Martinez Md NPPES

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

JOSEPH A MARTINEZ MD (NPI 1942254297) is an individual family medicine provider in West View, Pennsylvania, licensed in Pennsylvania (MD463426) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942254297
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH A MARTINEZCredential: MD
Location Address1020 CENTER AVEWest View, PA 15229-1724
Mailing Address1020 Center AveWest View, PA 15229-1724 · (412) 931-3066 · Fax (412) 931-2464
Phone(412) 931-3066
Fax(412) 931-2464
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2002
Enumeration DateMay 20, 2006
Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1942254297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD463426
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.
1020 CENTER AVE, West View, PA 15229
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19104 Babcock Blvd Ste 3111Pittsburgh, PA 15237-5818 · Phone (412) 931-3066 · Fax (412) 931-2464
Location 25830 Meridian RdGibsonia, PA 15044-9668 · Phone (412) 931-3066 · Fax (412) 931-2464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Joseph A 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.

PECOS PAC ID1951337617
PECOS Enrollment IDI20180327003002
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Joseph Martinez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
0.2 mi
Internal Medicine
526 PERRY HWY
Pittsburgh, PA 15229
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1972938587 (412) 931-7415
Genesis Medical Associates, Inc.
2.4 mi
Family Medicine
8150 PERRY HWY STE 200
Pittsburgh, PA 15237
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
NPI 1205905429 (412) 369-9550
Webber Hospital Association
527 mi
Pediatrics
2 BERRY CT
Kennebunk, ME 04043
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
NPI 1194902809 (207) 985-8460

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 10

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.
445 services279 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.
199 services199 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
151 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services51 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
45 services36 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15229 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare 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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims18 services$6.37 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$28.78 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$40.04 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$14.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers18 claims96 services$1.44 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$48.24 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 20

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

SCOTT HEYL MD
Family Medicine
1020 CENTER AVE
PITTSBURGH, PA 15229
Allegheny County (412) 931-3066
KELLY LAVERTY CRNP
Nurse Practitioner (Family)
1020 CENTER AVE
PITTSBURGH, PA 15229
Allegheny County (412) 931-3066
MS. NANCY A SCHOMAN CRNP
Registered Nurse
1020 CENTER AVE
PGH, PA 15229
Allegheny County (412) 931-3066
DR. DONALD R. SHOENTHAL
Family Medicine
1020 CENTER AVE
PITTSBURGH, PA 15229
Allegheny County (412) 931-3066
KATE ELIZABETH BACHNER CRNP
Nurse Practitioner (Family)
1020 CENTER AVE
PITTSBURGH, PA 15229
Allegheny County (412) 931-3066
MATTHEW ETHAN MACKEN MD
Family Medicine
1020 CENTER AVE
PITTSBURGH, PA 15229
Allegheny County (412) 931-3066
EMILY ROSE O'CONNOR CRNP
Nurse Practitioner
1020 CENTER AVE
PITTSBURGH, PA 15229
Allegheny County (412) 931-3066
KATHLEEN C WINBERG CRNP
Nurse Practitioner (Family)
1020 CENTER AVE
PITTSBURGH, PA 15229
Allegheny County (412) 931-3066

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 Joseph Martinez's NPI number?

The NPI number for Joseph Martinez is 1942254297. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Joseph Martinez located?

Joseph Martinez practices at 1020 Center Ave, West View, PA 15229. The listed phone number is (412) 931-3066.

What is Joseph Martinez's specialty?

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

Is Joseph Martinez enrolled in Medicare?

Yes. Joseph 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 Joseph Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Martinez reassigns Medicare benefits to 3 organizations: Allegheny Clinic (Pittsburgh, PA), Genesis Medical Associates, Inc. (Pittsburgh, PA) and Webber Hospital Association (Kennebunk, ME). 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 Joseph Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Martinez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joseph 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.

Is Joseph Martinez affiliated with any hospitals?

According to CMS data, Joseph Martinez is affiliated with Allegheny Valley Hospital, Allegheny General Hospital, West Penn Hospital, Upmc Passavant and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Joseph Martinez was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.