NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1154358638 MD
Verify on CMS → Jose Martinez, MD
Family Medicine Physician in Winnsboro, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, 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
21K
Medicare Part D claims · 738 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
64.9/100
▼ 19 pts below national avg 83.5 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Jose Martinez, MD reported a CMS MIPS final score of 64.9/100 - below the 83.5 national average - and filed 20,562 Medicare Part D claims in 2023.
- 64.9/100
- MIPS score · -19 vs avg
- 21K
- Part D claims, 2023
- 91%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
CMS NPPES provider registry desk
NPI 1154358638 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-HEAVY · BOOK-MID · PHOTO-FINISH
- NPI-10 1154358638
- ENUM-LEGACY 2006
- TAX-MEGA 148K Family Medicine
- MIPS-LOW 64.9/100
- RX-HEAVY 21K claims
- BOOK-MID 10,448 in Texas
- PHOTO-FINISH John Gollier · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Martinez · this …
Martinez · this provider
64.9 MIPS pts
- Akinola Ojeleye …
Akinola Ojeleye
64.9 MIPS pts
- John Gollier · n…
John Gollier
64.9 MIPS pts
- Sarah Larson · n…
Sarah Larson
64.9 MIPS pts
- Robert Nichols ·…
Robert Nichols
64.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Jose Martinez, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
65 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Jose Martinez, MD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jose Martinez, MD writes more Part D claims than 98% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Jose Martinez, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jose Martinez, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jose Martinez, MD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
20,562 6× vs specialty avg
MIPS final score
64.9/100 18.6 pts vs avg
Specialty distribution in Texas
How Family Medicine Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Jose Martinez, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 64.9/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1154358638 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/28/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
64.9064
Final Score
Measured-score avg: 83.5
66.324
Quality
17.545
Cost
88
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Jose Martinez, MD 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.
Winnsboro Health Services PLLC
Winnsboro, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Jose Martinez, MD. To verify Jose Martinez, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Jose Martinez, MD - brand share 9.0%
Family Medicine Physician average
9% brand-name claims vs 91% generic, on 20,562 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.
20,562
Total Claims
$1.4M
Total Drug Cost
738
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 30,335
- Total Day Supply
- 800,652
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $1.0M
- Generic Drug Cost
- $403K
- Opioid Claims
- 1,019 (5.0% rate)
- Antibiotic Claims
- 715
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 1.62
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 112, 65-74: 293, 75-84: 215, 85+: 118
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, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
733 claims
- Levothyroxine Sodium
Levothyroxine Sodium
716 claims
- Atorvastatin Calcium
Atorvastatin Calcium
660 claims
- Amlodipine Besylate
Amlodipine Besylate
580 claims
- Potassium Chloride
Potassium Chloride
532 claims
- Furosemide
Furosemide
519 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
436 claims
- Clonazepam
Clonazepam
409 claims
| Drug | Claims |
|---|---|
| Gabapentin | 733 |
| Levothyroxine Sodium | 716 |
| Atorvastatin Calcium | 660 |
| Amlodipine Besylate | 580 |
| Potassium Chloride | 532 |
| Furosemide | 519 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 436 |
| Clonazepam | 409 |
| Pantoprazole Sodium | 397 |
| Lisinopril | 342 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Jose Martinez, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Jose Martinez, MD's 20,562 claims are above the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Martinez, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (64.9 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Martinez.
One of 10,448 Family Medicine Physician providers enrolled in Texas, 5 are shown here.
Dr. Srinivasa Aaluri
MD
El Paso, TX
Dr. Maira Aamir
MD
Shenandoah, TX
Dr. Fakhrudin Aaseemah Mohamed
M.D
Allen, TX
Dr. So Abad
MD
Wichita Falls, TX
Yoseph Abadi
Richardson, TX
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Jose Martinez, MD's specialty? ▼
Jose Martinez, MD specializes in Family Medicine Physician and practices in Winnsboro, Texas. Credentials: MD.
How much does Jose Martinez, MD prescribe under Medicare Part D? ▼
In 2023, Jose Martinez, MD wrote 20,562 Medicare Part D claims totaling $1.4M in drug costs for 738 beneficiaries.
What is Jose Martinez, MD's Medicare quality score? ▼
Jose Martinez, MD has a CMS MIPS Final Score of 64.9/100 (Quality: 66.3, Cost: 17.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jose Martinez, MD located? ▼
Jose Martinez, MD is located at 209 E BROADWAY ST, Winnsboro, TX, 75494. Phone: (903) 342-3355.
What is Jose Martinez, MD's NPI number? ▼
Jose Martinez, MD's National Provider Identifier (NPI) is 1154358638, issued on 06/28/2006.
Does Jose Martinez, MD prescribe more brand-name or generic drugs? ▼
Jose Martinez, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $1.0M in brand drug costs.
Does Jose Martinez, MD prescribe opioids? ▼
Yes, Jose Martinez, MD had 1,019 opioid claims in 2023 with an opioid prescribing rate of 5.0%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Jose Martinez, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jose Martinez, MD's most frequently prescribed drugs include Gabapentin, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Martinez, MD accept Medicare? ▼
Jose Martinez, MD appears in CMS Medicare data with 20,562 Part D claims and 738 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Martinez, MD's credentials? ▼
Jose Martinez, MD's NPI is 1154358638 with credentials MD. 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
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.