2026 NPPES data Gastroenterology Physician NPI 1649279944 M.D.
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JAMES MARTINEZ, M.D.

Gastroenterology Physician in ALBUQUERQUE, New Mexico. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
21
Medicare Part D claims · 12 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
64.0074/100
▼ 19 pts below national avg 83.1 · [object Object]
What the federal data reveals: JAMES MARTINEZ, M.D. is a Gastroenterology Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 21 claims across 12 beneficiaries . Their CMS MIPS Final Score of 64.0074/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES MARTINEZ, M.D. reported a CMS MIPS final score of 64.0074 out of 100, below the 83.1 national average, and filed 21 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES MARTINEZ, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES MARTINEZ, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/19/2005

NPI 1649279944

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

21 97% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

64.0074/100 19.09259999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Mexico

How Gastroenterology Physician compares to other specialties among New Mexico providers

New Mexico providers

Gastroenterology Physician share within New Mexico

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Mexico

Medicare quality performance — MIPS

JAMES MARTINEZ, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
64.0074/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 64.0074/100 vs national avg 83.1

0%100%National avg83%64%
MIPS final score (Gastroenterology Physician) — 64.0074/100 vs national avg 83.1

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).

JAMES MARTINEZ, M.D. is a Gastroenterology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1649279944. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES MARTINEZ, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 4705 MONTGOMERY BLVD NE, ALBUQUERQUE, NM, 87109, with a listed phone of (505) 727-7833. NPI 1649279944 was issued on 07/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTINEZ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 21 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $656 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 64.0074/100 for the 2023 performance year (Quality 24.9585, Cost 55.0661), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

4705 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109

Provider Details

NPI 1649279944
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 07/19/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

64.0074
Final Score
Avg: 83.1
24.9585
Quality
55.0661
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

21
Total Claims
$656
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48
Total Day Supply
1,440
Generic Drug Cost
$351

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.00

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Pantoprazole Sodium
16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gastroenterology Physician Overview

How JAMES MARTINEZ, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

JAMES MARTINEZ, M.D.'s 21 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as MARTINEZ.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES MARTINEZ, M.D.'s specialty?
JAMES MARTINEZ, M.D. specializes in Gastroenterology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: M.D..
How much does JAMES MARTINEZ, M.D. prescribe under Medicare Part D?
In 2023, JAMES MARTINEZ, M.D. wrote 21 Medicare Part D claims totaling $656 in drug costs for 12 beneficiaries.
What is JAMES MARTINEZ, M.D.'s Medicare quality score?
JAMES MARTINEZ, M.D. has a CMS MIPS Final Score of 64.0074/100 (Quality: 24.9585, Cost: 55.0661). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES MARTINEZ, M.D. located?
JAMES MARTINEZ, M.D. is located at 4705 MONTGOMERY BLVD NE, ALBUQUERQUE, NM, 87109. Phone: (505) 727-7833.
What is JAMES MARTINEZ, M.D.'s NPI number?
JAMES MARTINEZ, M.D.'s National Provider Identifier (NPI) is 1649279944, issued on 07/19/2005.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does JAMES MARTINEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES MARTINEZ, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES MARTINEZ, M.D. accept Medicare?
JAMES MARTINEZ, M.D. appears in CMS Medicare data with 21 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES MARTINEZ, M.D.'s credentials?
JAMES MARTINEZ, M.D.'s NPI is 1649279944 with credentials M.D.. 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

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