LARA MARTINEZ – Emergency Medicine Physician, NPI 1003303751

LARA MARTINEZ is a healthcare provider. based in Kettering, Ohio. specializing in EMERGENCY MEDICINE. They hold a License No. 34.014062 (OH). The NPI Number for LARA MARTINEZ is 1003303751

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LARA MARTINEZ
NPI
1003303751
Phone
(937) 395-8166
Address
3535 Southern Blvd
Enumeration Date
18 April 2018
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
53052980000
Graduation Year
2018 (8 years ago)
PAC ID
3678821949
Group Practice PAC ID
6103739131
Professional Enrollment ID
I20220811001622
Address ID
CA960804327RE2550XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for LARA MARTINEZ

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • 3535 Pentagon Blvd

    Beavercreek, OH 454311705

    Phone: (937) 702-4500

    Type: Location

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • Grandview Medical Center, 405, West Grand Avenue, Steeles Hill-Grafton Hill Historic District, Daytonview, Dayton, Montgomery County, Ohio, 45405, United States

    DAYTON, OH 454057538

    Phone:

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200928000605IEmergency MedicineOHTBD
I20220811001622IEmergency MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making531517$0
99291Critical care, first 30-74 minutes218212$0
99284Emergency department visit with moderate level of medical decision making106105$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103739131View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineMI
Emergency MedicineCA
-DE
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineMI

Reviews

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Frequently asked questions

What number should I use to identify LARA MARTINEZ for billing?
Administrative and clinical systems typically use NPI 1003303751 for LARA MARTINEZ.
Should I treat LARA MARTINEZ as an active provider?
Patients and plans typically see LARA MARTINEZ as active in the national extract.
What services align with LARA MARTINEZ's listing?
LARA MARTINEZ's public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is LARA MARTINEZ tied to Kettering, Ohio?
If you are local to Kettering, Ohio, LARA MARTINEZ may be relevant to your search.
Can I export LARA MARTINEZ's record?
You can download the official NPPES record; we summarize key fields for readability.

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