DR. ALFONSO MARTINEZ (PH.D.) – Clinical Neuropsychologist, NPI 1316920952
Clinical Neuropsychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
482 CLINICAL PSYCHOLOGIST in GA
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Provider Addresses for DR. ALFONSO MARTINEZ (PH.D.)
406, Mount Vernon Trace, Oaks at Timberlake, Huntington Place, Peachtree City, Fayette County, Georgia, 30269, United States
PEACHTREE CITY, GA 302692641
Phone: (770) 629-4575
Fax: (770) 629-4575
Type: Mailing
6000, Shakerag Hill, Robinson Wood Estates, Shake Rag, Peachtree City, Fayette County, Georgia, 30269, United States
SUITE 216
PEACHTREE CITY, GA 302696523
Phone: (770) 632-1088
Fax: (770) 632-2088
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2008-04-01
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 |
|---|---|---|---|---|
| I20080401000345 | I | Clinical Psychologist | GA | 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 |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 728 | 145 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 395 | 145 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 259 | 145 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 171 | 170 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 147 | 145 | $0 |
Insurance plans in this area (ZIP 30269)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | GA | |
| Mental Health Counselor | GA |
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