NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1649895160 PA
Verify on CMS → Carlos Martinez, PA
Physician Assistant in Randolph, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
363
Medicare Part D claims · 161 beneficiaries · Physician Assistant avg: 790
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$1.3K
120 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carlos Martinez, PA reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 363 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 363
- Part D claims, 2023
- 86%
- generic prescribing
- $1.3K
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Carlos Martinez, PA's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Carlos Martinez, PA sits
This provider among physician assistant peers
Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Carlos Martinez, PA writes more Part D claims than 61% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Carlos Martinez, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Carlos Martinez, PA?
High performer (top quartile)Primary specialty
Physician Assistant
Medicare Part D claims
363 54% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in New Jersey
How Physician Assistant compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Carlos Martinez, PA's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physician Assistant) - 100/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Carlos Martinez, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 390 STATE ROUTE 10 STE 201, Randolph, NJ, 07869, with a listed phone of (973) 366-6303. NPI 1649895160 was issued on 06/10/2020.
Medicare Part D records for calendar year 2023 show 363 prescription claims written by this provider, covering 161 Medicare beneficiaries and totaling roughly $189K in drug spend, split 14% brand-name and 86% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.
Physician Assistant is a high-volume specialty nationwide, with 150,974 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1649895160 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA |
| Gender | Male |
| NPI Issued | 06/10/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Carlos Martinez, PA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Clark Dermatology LLC
Saddle Brook, NJ
Randolph Dermatology And Mohs Micrographic Surgery LLC
Randolph, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Carlos Martinez, PA. Source: openpaymentsdata.cms.gov.
Total received
$1.3K
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Carlos Martinez, PA - brand share 14.0%
Physician Assistant average
14% brand-name claims vs 86% generic, on 363 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
363
Total Claims
$189K
Total Drug Cost
161
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 503
- Total Day Supply
- 13,439
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $176K
- Generic Drug Cost
- $14K
- Antibiotic Claims
- 39
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 16, 65-74: 71, 75-84: 54, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carlos Martinez, PA prescribes most
Top Medicare Part D drugs by claim count, 2023
- Triamcinolone Acet…
Triamcinolone Acetonide
69 claims
- Fluocinonide
Fluocinonide
39 claims
- Ketoconazole
Ketoconazole
36 claims
- Clobetasol Propion…
Clobetasol Propionate
28 claims
- Mupirocin 26
Mupirocin
26 claims
- Doxycycline Hyclate 23
Doxycycline Hyclate
23 claims
- Prednisone 23
Prednisone
23 claims
- Otezla 17
Otezla
17 claims
| Drug | Claims |
|---|---|
| Triamcinolone Acetonide | 69 |
| Fluocinonide | 39 |
| Ketoconazole | 36 |
| Clobetasol Propionate | 28 |
| Mupirocin | 26 |
| Doxycycline Hyclate | 23 |
| Prednisone | 23 |
| Otezla Apremilast | 17 |
| Cephalexin | 15 |
| Tacrolimus | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Carlos Martinez, PA fits within the Physician Assistant landscape nationally.
150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Carlos Martinez, PA's 363 claims are below the specialty average of 790.
Nearby Physician Assistant Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Martinez.
Dr. Ann Marie Abadeer
PA-C, MHS
Ramsey, NJ
Sydney Abajian
Wayne, NJ
Dr. Ann Abbate
PA-C
Freehold, NJ
Diana Abbate
Marlboro, NJ
Nisreen Abdelaziz
Hoboken, NJ
Compare Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Carlos Martinez, PA's specialty? ▼
Carlos Martinez, PA specializes in Physician Assistant and practices in Randolph, New Jersey. Credentials: PA.
How much does Carlos Martinez, PA prescribe under Medicare Part D? ▼
In 2023, Carlos Martinez, PA wrote 363 Medicare Part D claims totaling $189K in drug costs for 161 beneficiaries.
What is Carlos Martinez, PA's Medicare quality score? ▼
Carlos Martinez, PA has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carlos Martinez, PA located? ▼
Carlos Martinez, PA is located at 390 STATE ROUTE 10 STE 201, Randolph, NJ, 07869. Phone: (973) 366-6303.
What is Carlos Martinez, PA's NPI number? ▼
Carlos Martinez, PA's National Provider Identifier (NPI) is 1649895160, issued on 06/10/2020.
Does Carlos Martinez, PA prescribe more brand-name or generic drugs? ▼
Carlos Martinez, PA's prescribing is 14% brand-name and 86% generic drugs by claim count, with $176K in brand drug costs.
How many Physician Assistant providers are there in the US? ▼
There are 150,974 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Carlos Martinez, PA prescribe most often? ▼
Based on 2023 Medicare Part D data, Carlos Martinez, PA's most frequently prescribed drugs include Triamcinolone Acetonide, Fluocinonide, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Martinez, PA accept Medicare? ▼
Carlos Martinez, PA appears in CMS Medicare data with 363 Part D claims and 161 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Martinez, PA's credentials? ▼
Carlos Martinez, PA's NPI is 1649895160 with credentials PA. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.