2026 NPPES data General Practice Physician NPI 1255475331 M.D.
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JOSE MARTINEZ, M.D.

General Practice Physician in AGUADA, Puerto Rico. 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
6K
Medicare Part D claims · 357 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JOSE MARTINEZ, M.D. filed 6,165 Medicare Part D claims in 2023 as a General Practice Physician in AGUADA, Puerto Rico, prescribing 99% generic.

6K
Part D claims, 2023
99%
generic prescribing

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.

JOSE MARTINEZ, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

6,165 Top 5% higher than 95% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

JOSE MARTINEZ, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOSE MARTINEZ, M.D.?

Quality data not reported

NPI registry status

Active

Issued 02/20/2007

NPI 1255475331

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

6,165 115% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Puerto Rico

How General Practice Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

General Practice Physician share within Puerto Rico

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

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).

JOSE MARTINEZ, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 222 CALLE MARINA, AGUADA, PR, 00602, with a listed phone of (787) 202-6967. NPI 1255475331 was issued on 02/20/2007. 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 6,165 prescription claims written by this provider, covering 357 Medicare beneficiaries and totaling roughly $81K in drug spend, split 1% brand-name and 99% generic by claim count. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

222 CALLE MARINA
AGUADA, PR 00602

Provider Details

NPI 1255475331
Specialty General Practice Physician
Credentials M.D.
Gender Male
NPI Issued 02/20/2007

Brand vs generic prescribing mix · Generic-heavy

JOSE MARTINEZ, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 6,165 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.

6,165
Total Claims
$81K
Total Drug Cost
357
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,216
Total Day Supply
184,974
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$13K
Generic Drug Cost
$68K

Patient Demographics

Average Patient Age
60.8 years
Avg HCC Risk Score
1.85
Gender Split
45% female / 55% male
Age Distribution
<65: 218, 65-74: 110, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What JOSE MARTINEZ, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Clonazepam
760
Sertraline Hcl
401
Fluoxetine Hcl
400
Temazepam
387
Quetiapine Fumarate
379
Lorazepam
356
Divalproex Sodium
322
Trazodone Hcl
317
Mirtazapine
298
Risperidone
298

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

General Practice Physician Overview

How JOSE MARTINEZ, M.D. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

JOSE MARTINEZ, M.D.'s 6,165 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in Puerto Rico

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE MARTINEZ, M.D.'s specialty?
JOSE MARTINEZ, M.D. specializes in General Practice Physician and practices in AGUADA, Puerto Rico. Credentials: M.D..
How much does JOSE MARTINEZ, M.D. prescribe under Medicare Part D?
In 2023, JOSE MARTINEZ, M.D. wrote 6,165 Medicare Part D claims totaling $81K in drug costs for 357 beneficiaries.
Where is JOSE MARTINEZ, M.D. located?
JOSE MARTINEZ, M.D. is located at 222 CALLE MARINA, AGUADA, PR, 00602. Phone: (787) 202-6967.
What is JOSE MARTINEZ, M.D.'s NPI number?
JOSE MARTINEZ, M.D.'s National Provider Identifier (NPI) is 1255475331, issued on 02/20/2007.
Does JOSE MARTINEZ, M.D. prescribe more brand-name or generic drugs?
JOSE MARTINEZ, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $13K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does JOSE MARTINEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSE MARTINEZ, M.D.'s most frequently prescribed drugs include Clonazepam, Sertraline Hcl, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE MARTINEZ, M.D. accept Medicare?
JOSE MARTINEZ, M.D. appears in CMS Medicare data with 6,165 Part D claims and 357 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE MARTINEZ, M.D.'s credentials?
JOSE MARTINEZ, M.D.'s NPI is 1255475331 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.
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