NPPES file of Aug 9, 2026

Michael Joel Martinez, M.D.

Surgery Physician · McAllen, TX

Michael Joel Martinez, M.D. is a surgery physician with a practice address in McAllen, Texas, and NPI 1811281140, issued on Jun 3, 2011. Check the license (Texas P5679, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1811281140
Name
Michael Joel Martinez
Credential
M.D.
Primary taxonomy
Surgery Physician 208600000X
License number
P5679 TX
Self-reported in NPPES; status is on the state search
Practice location
533 Pecan Blvd, McAllen, TX 78501
Phone
(956) 365-4400
Enumerated
Jun 3, 2011
Record last updated
Jun 15, 2022
Fax
(956) 365-4111
Medicaid ID
348256401 TX
Medicare enrollment
Enrolled (PECOS I20150807015466); accepts Medicare assignment
Medical or professional school
Yale University School Of Medicine, 2009
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 533 Pecan Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Brace, DPMPrimary Podiatric Medicine Podiatrist1528052156
  2. Juan CastanoGastroenterology Physician1427404839
  3. Jesus Garcia, MDSurgery Physician1598293755
  4. Dustin Luebbers, M.D.Colon & Rectal Surgery Physician1528445962
  5. Matthew Martinez, PAMedical Physician Assistant1649648759
  6. Veronica MesquiticNurse Practitioner1659935245

Verify Michael Joel Martinez in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license P5679
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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5.4 times the Medicare Part D claims of the average surgery physician in 2024

787 Medicare Part D claims for 311 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 245 claims were for opioids.

  1. Michael Martinez787
  2. Specialty average147

Most prescribed

  1. Tramadol Hcl-Acetaminophen217 claims
  2. Famotidine193 claims
  3. Sucralfate49 claims
  4. Omeprazole36 claims
  5. Topiramate34 claims
  6. Ursodiol34 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 53.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.3
  2. Costout of 100 · 30%70.8
  3. Promoting interoperabilityout of 100 · 25%0.0
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $19,548.66

86 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Martinez$19,549
  2. Specialty average$3,514

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Gastroenterology Consultants OF South Texas, PLLCHarlingen, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael Joel Martinez among 2,192 surgery physician records in Texas

Michael Joel Martinez, M.D. is one of 2,192 surgery physician records with a practice address in Texas. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 65% of them.

  • NPI issued2011 · 65% of these records are older, 32% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2009 · median 2004 among the 1,350 with a school on file
  • Record last updated2022 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgery Physician providers in Texas

There are 2,192 surgery physician records in Texas.

The 8 surgery physician records with the nearest ZIP codes

  1. Diego Camacho, MDMcAllen, TX 785011174592067
  2. Jose Farias-Jimenez, M.D.McAllen, TX 785011407892334
  3. Jesus Garcia, MDMcAllen, TX 785011598293755
  4. Ernesto Garza, M.D.McAllen, TX 785011912126079
  5. John Hovorka, M.D.McAllen, TX 785011699710665
  6. Luis Reyes, MDMcAllen, TX 785011427027804
  7. Bob Saggi, M.D.McAllen, TX 785011972532646
  8. Cynthia Salinas, M.D.McAllen, TX 785011578899498

Common questions

What is Michael Joel Martinez, M.D.'s NPI number?

Michael Joel Martinez, M.D.'s National Provider Identifier (NPI) is 1811281140, issued on Jun 3, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Michael Joel Martinez, M.D. located?

The NPPES record lists a practice address at 533 Pecan Blvd, McAllen, TX, 78501. Phone: (956) 365-4400. Providers update this record themselves, so call before visiting.

How can I verify Michael Joel Martinez, M.D.'s license?

NPPES lists Texas license number P5679, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Joel Martinez, M.D. prescribe under Medicare Part D?

In 2024, Michael Joel Martinez, M.D. had 787 Medicare Part D claims for 311 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Michael Joel Martinez, M.D.'s MIPS final score?

The 2023 MIPS final score is 53.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.