Michael Martinez, M.D.
NPI 1811281140 · Surgery Physician · Mcallen, TX
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Martinez, M.D. is a Surgery Physician provider in Mcallen, TX (NPI 1811281140).
Provider details
- NPI number
- 1811281140
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- P5679 (TX)
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
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
133 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 | 70 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 23 | $85 |
| Diagnostic Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43235 | 17 | $60 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 12 | $118 |
| Repair of Hernia of Muscle at Esophagus and Stomach With Implantation of Mesh Using an Endoscope43282 | 11 | $1,613 |
Typical Medicare-allowed amounts for these services range $60–$1,613 (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 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl/Acetaminophenbrand: Tramadol Hcl-Acetaminophen | 217 | 206 |
| Famotidine | 193 | 151 |
| Sucralfate | 49 | 25 |
| Omeprazole | 36 | 17 |
| Ursodiol | 34 | 24 |
| Topiramate | 34 | 24 |
| Ondansetronbrand: Ondansetron Odt | 24 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19,549 across 86 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
Additional practice locations (1)
- 512 Victoria Ln Ste 2Harlingen, TX 78550-3227Phone: (956) 365-4400Fax: (956) 365-4111
Registry dates
- Enumerated
- 2011-06-03
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Frequently asked questions
- What is Michael Martinez's NPI number?
- Michael Martinez's National Provider Identifier (NPI) is 1811281140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Martinez's specialty?
- Michael Martinez is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Martinez located?
- Michael Martinez's practice location on file with NPPES is 533 Pecan Blvd, Mcallen, TX 78501-2356.
- What is Michael Martinez's phone number?
- The practice phone number listed in the NPPES registry for Michael Martinez is (956) 365-4400.
- Does Michael Martinez accept Medicare?
- Michael Martinez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Martinez's NPI active?
- Yes — Michael Martinez's NPI (1811281140) is active in the NPPES registry as of the last update on 2022-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.