KEYNA ANN MARTINEZ (M.D.) – Family Medicine Physician, NPI 1013941699
Family Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for KEYNA ANN MARTINEZ (M.D.)
601 N. MICHIGAN STREET
LAKEVILLE, IN 46536
Phone: (574) 784-8244
Fax: (574) 784-8632
Type: Location
714 N Michigan St
South Bend, IN 466011035
Phone: (574) 647-7477
Fax: (574) 647-3655
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-2129
Type: Mailing
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
1144 W PLYMOUTH ST
BREMEN, IN 465061842
Phone: (574) 546-5363
Fax: (574) 546-2575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $1,610.
Total Amount is formed as General ($1,610) + Research ($0) + Ownership ($0) = $1,610.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($331).
Total Amount
$1,610
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,610
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $331 |
| AstraZeneca Pharmaceuticals LP | $231 |
| Novo Nordisk Inc | $165 |
| Lilly USA, LLC | $149 |
| PFIZER INC. | $117 |
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: 2010-02-17
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 |
|---|---|---|---|---|
| I20100217000463 | I | Family Practice | IN | 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 | 272 | 162 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 139 | 139 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 120 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 58 | $0 |
| 83036 | Hemoglobin a1c level | 54 | 43 | $0 |
Insurance plans in this area (ZIP 46536)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IN | 83036 | Hemoglobin A1C level | 47 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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