CARLOS O MARTINEZ (M.D.) – Nephrology Physician, NPI 1841368933
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
431 NEPHROLOGY in GA
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Provider Addresses for CARLOS O MARTINEZ (M.D.)
165, Emery Highway, Macon, Bibb County, Georgia, 31217, United States
STE 100
MACON, GA 312173666
Phone: (478) 741-2150
Fax: (478) 741-2208
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,432.
Total Amount is formed as General ($1,432) + Research ($0) + Ownership ($0) = $1,432.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($272).
Total Amount
$1,432
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,432
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $272 |
| Travere Therapeutics, Inc. | $215 |
| Ardelyx, Inc. | $125 |
| AstraZeneca Pharmaceuticals LP | $101 |
| SHIELD THERAPEUTICS INC | $91 |
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: 2004-11-08
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 |
|---|---|---|---|---|
| I20041108000802 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 992 | 176 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 569 | 311 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 446 | 273 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 396 | 68 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 221 | 79 | $0 |
Insurance plans in this area (ZIP 31217)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nephrology, Internal Medicine | GA | |
| Nurse Practitioner | IL |
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