CLAUDIA DENICE MARTINEZ ORTIZ (FNP-BC) – Family Medicine Physician, NPI 1093326092
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for CLAUDIA DENICE MARTINEZ ORTIZ (FNP-BC)
1816 RED RIVER AVE
EDINBURG, TX 785390277
Phone: (956) 393-7160
Type: Mailing
2009 E Griffin Pkwy
Mission, TX 785723222
Phone: (956) 992-9161
Fax: (956) 992-9174
Type: Location
909 N JACKSON RD
MCALLEN, TX 785019357
Phone: (956) 992-9161
Fax: (956) 992-9174
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Smith+Nephew, Inc. ($34).
Total Amount
$51
General + Research + Ownership
Payments
3
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $34 |
| TACTILE SYSTEMS TECHNOLOGY INC | $17 |
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: 2021-02-25
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 |
|---|---|---|---|---|
| I20210225000734 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 33 | $0 |
| 93923 | Complete ultrasound study of arm and leg arteries | 25 | 20 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 15 | 15 | $0 |
Insurance plans in this area (ZIP 78539)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Family Practice, Peripheral Vascular Disease | TX | |
| General Surgery, Preventive Medicine, Vascular Surgery | TX | |
| Nurse Practitioner | TX | |
| - | PA |
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