ANTONIO E MARTINEZ (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1316971047
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
190 PATHOLOGY in IA
Provider Addresses for ANTONIO E MARTINEZ (MD)
5950 UNIVERSITY AVE STE 321
WEST DES MOINES, IA 502668289
Phone: (515) 875-9255
Fax: (515) 875-9101
Type: Mailing
PO BOX 424
DES MOINES, IA 503020424
Phone: (515) 872-9925
Fax: (515) 875-9923
Type: Mailing
5950 UNIVERSITY AVE STE 161
WEST DES MOINES, IA 502668234
Phone: (515) 875-9709
Fax: (515) 875-9702
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $12,029.
Total Amount is formed as General ($12,029) + Research ($0) + Ownership ($0) = $12,029.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Gilead Sciences, Inc. ($12,016).
Total Amount
$12,029
General + Research + Ownership
Payments
10
Total payment records
General Amount
$12,029
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $12,016 |
| Roche Diagnostics Corporation | $13 |
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: 2020-02-20
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 |
|---|---|---|---|---|
| I20200220002527 | I | Pathology | IA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,122 | 1,365 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 590 | 436 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 407 | 146 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 237 | 83 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 198 | 182 | $0 |
Insurance plans in this area (ZIP 50266)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| P O D I A T R Y | IA | |
| Internal Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| Family Practice | IA | |
| Orthopedic Surgery | MO | |
| Internal Medicine | IA | |
| Family Practice | IA |
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