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DR. TARA DAWN MARTINEZ DO
NPI 1962693887
Colon & Rectal Surgery in Commack, NY

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2171 JERICHO TPKE STE 100, COMMACK, NY 11725(631) 486-5030(631) 486-2694 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2022, Dec 3, 2021, Apr 16, 2020 (3 updates tracked since 2020).

About Dr. Tara Dawn Martinez Do NPPES

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

DR. TARA DAWN MARTINEZ DO (NPI 1962693887) is an individual colon & rectal surgery provider in Commack, New York, licensed in New York (267602) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2006).

NPPES Registry Identity

NPI1962693887
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. TARA DAWN MARTINEZCredential: DO
Location Address2171 JERICHO TPKE STE 100Commack, NY 11725-2900
Mailing Address2171 Jericho Tpke Ste 100Commack, NY 11725-2900 · (631) 486-5030 · Fax (631) 724-4229
Phone(631) 486-5030
Fax(631) 486-2694
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2006
Enumeration DateAugust 6, 2007
Last NPPES UpdateApril 21, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1962693887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in NY · 267602✔ Licensed in FL · OS16564
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 267602 (NY)
2171 JERICHO TPKE STE 100, Commack, NY 11725
Open in Google Maps ↗

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

Dr. Tara Dawn Martinez Do 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 ID3274772272
PECOS Enrollment IDI20130625000019
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 7

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.
80 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
38 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 2

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

LEWIN, FAGEN & LOWN, M.D. P.C.
Internal Medicine
2171 JERICHO TPKE STE 100
COMMACK, NY 11725
Suffolk County (631) 864-4499
SURGICAL SPECIALIST OF LONG ISLAND, PC
Surgery
2171 JERICHO TPKE STE 100
COMMACK, NY 11725
Suffolk County (631) 486-5030

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 Tara Martinez's NPI number?

The NPI number for Tara Martinez is 1962693887. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Tara Martinez located?

Tara Martinez practices at 2171 Jericho Tpke Ste 100, Commack, NY 11725. The listed phone number is (631) 486-5030.

What is Tara Martinez's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Tara Martinez enrolled in Medicare?

Yes. Tara 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.

Is Tara Martinez affiliated with any hospitals?

According to CMS data, Tara Martinez is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Tara Martinez was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.