RAFAEL MARTINEZ – Family Medicine Physician, NPI 1508286451
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 FAMILY PRACTICE in MT
Provider Addresses for RAFAEL MARTINEZ
1101 26TH ST S
GREAT FALLS, MT 59405
Phone: (406) 731-8888
Fax: (406) 731-8876
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 1 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ABBVIE INC. ($32).
Total Amount
$32
General + Research + Ownership
Payments
1
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $32 |
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: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20170424000978 | I | Family Practice | MT | TBD |
| I20190830002337 | I | Family Practice | KY | TBD |
| I20231215002261 | I | Emergency Medicine | IN | TBD |
| I20240109004262 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 66 | 61 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 40 | 36 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 11 | 11 | $0 |
Insurance plans in this area (ZIP 59405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | PR | |
| Emergency Medicine | TX | |
| Emergency Medicine | NY | |
| Family Practice, Emergency Medicine | TX | |
| Emergency Medicine | UT | |
| Emergency Medicine | PA | |
| Emergency Medicine | TX | |
| Emergency Medicine | NY | |
| Emergency Medicine | TX |
Reviews
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