Rafael Martinez, M.D.
NPI 1578990438 · General Practice Physician · Kissimmee, FL
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Martinez, M.D. is a General Practice Physician provider in Kissimmee, FL (NPI 1578990438).
Provider details
- NPI number
- 1578990438
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ANC889 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
140 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 61 | $123 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 28 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 23 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $88 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 12 | $126 |
Typical Medicare-allowed amounts for these services range $9–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 153 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 727 | 250 |
| Losartan Potassium | 647 | 210 |
| Metformin Hcl | 422 | 141 |
| Amlodipine Besylate | 415 | 147 |
| Gabapentin | 361 | 119 |
| Lisinopril | 352 | 120 |
| Famotidine | 341 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$371 across 19 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-10-08
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Rafael Martinez's NPI number?
- Rafael Martinez's National Provider Identifier (NPI) is 1578990438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Martinez's specialty?
- Rafael Martinez is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Martinez located?
- Rafael Martinez's practice location on file with NPPES is 904b Cypress Pkwy, Kissimmee, FL 34759-3456.
- What is Rafael Martinez's phone number?
- The practice phone number listed in the NPPES registry for Rafael Martinez is (407) 543-0237.
- Does Rafael Martinez accept Medicare?
- Rafael Martinez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Martinez's NPI active?
- Yes — Rafael Martinez's NPI (1578990438) is active in the NPPES registry as of the last update on 2026-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.