ELISA R. MARTINEZ (PA) – Medical Physician Assistant, NPI 1720061716
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ELISA R. MARTINEZ (PA)
2101, Tenaya Drive, Modesto, Stanislaus County, California, 95354, United States
MODESTO, CA 953543930
Phone: (209) 576-6766
Fax: (209) 576-6776
Type: Location
737, West Childs Avenue, Merced, Merced County, California, 95341, United States
MERCED, CA 953406805
Phone: (209) 383-1848
Fax: (209) 383-1296
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $591.
Total Amount is formed as General ($591) + Research ($0) + Ownership ($0) = $591.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Lilly USA, LLC ($108).
Total Amount
$591
General + Research + Ownership
Payments
30
Total payment records
General Amount
$591
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $108 |
| PFIZER INC. | $83 |
| Dexcom, Inc. | $67 |
| Novo Nordisk Inc | $65 |
| Exact Sciences Corporation | $48 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100608000574 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 214 | 113 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 107 | 58 | $0 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 79 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 25 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | 19 | $0 |
Insurance plans in this area (ZIP 95354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Clinical Social Worker | NC | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Marriage And Family Therapist | CA | |
| Family Practice | CA | |
| General Surgery | IL |
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