DR. CARLOS OLIVERA-MARTINEZ (MD) – General Practice Physician, NPI 1902845423

DR. CARLOS OLIVERA-MARTINEZ (MD) is a healthcare provider. based in St augustine, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ACN795 (FL). The NPI Number for DR. CARLOS OLIVERA-MARTINEZ (MD) is 1902845423

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS OLIVERA-MARTINEZ (MD)
NPI
1902845423
Phone
(904) 824-8088
Address
1851 OLD MOULTRIE RD STE A
Enumeration Date
6 June 2006
Deactivation Date
9 August 2018
Reactivation Date
22 August 2018
Last Update Date
29 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526182107
Graduation Year
1994 (32 years ago)
PAC ID
1759387046
Group Practice PAC ID
0648271155
Professional Enrollment ID
I20161205001617
Address ID
FL344711126OC230XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for DR. CARLOS OLIVERA-MARTINEZ (MD)

  • 1851 OLD MOULTRIE RD STE A

    ST AUGUSTINE, FL 320844167

    Phone: (904) 824-8088

    Fax: (904) 826-4105

    Type: Mailing

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (813) 444-5838

    Type: Mailing

  • 230 SW 3RD AVE

    OCALA, FL 344711126

    Phone: (352) 722-3012

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: SI-BONE, INC. ($37).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SI-BONE, INC.$37
PFIZER INC.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161205001617IGeneral PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3019$0
99214Established patient office or other outpatient visit, 30-39 minutes3021$0
View full utilization report →

Insurance plans in this area (ZIP 32084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648271155View full group profile
NameSpecialtyState
Physician AssistantFL
Family PracticeFL
Nurse PractitionerFL
General PracticeFL
General PracticeFL
Physician AssistantFL
General PracticeFL
General Practice, Family PracticeFL
Family PracticeFL
-FL

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Frequently asked questions

Can I verify DR. CARLOS OLIVERA-MARTINEZ (MD) with an NPI only?
You can start verification with NPI 1902845423 for DR. CARLOS OLIVERA-MARTINEZ (MD), then check state licensing separately.
Does the file indicate DR. CARLOS OLIVERA-MARTINEZ (MD) is practicing under active NPI?
Directory data currently reports DR. CARLOS OLIVERA-MARTINEZ (MD) as active.
What healthcare role does DR. CARLOS OLIVERA-MARTINEZ (MD) hold?
Scheduling teams often label DR. CARLOS OLIVERA-MARTINEZ (MD) under General Practice Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CARLOS OLIVERA-MARTINEZ (MD)?
DR. CARLOS OLIVERA-MARTINEZ (MD)'s geographic hint is St Augustine, Florida in our summary view.
Is the information about DR. CARLOS OLIVERA-MARTINEZ (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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