EDWARD A MARTINEZ (PA) – Medical Physician Assistant, NPI 1720233042
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for EDWARD A MARTINEZ (PA)
Breakfast Club 51, 1212, North US Highway 377, Roanoke, Denton County, Texas, 76262, United States
SUITE 119
ROANOKE, TX 762626916
Phone: (682) 831-1591
Fax: (682) 831-1598
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 22 Open Payments records for all available years, with a total value of $627.
Total Amount is formed as General ($627) + Research ($0) + Ownership ($0) = $627.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($361).
Total Amount
$627
General + Research + Ownership
Payments
22
Total payment records
General Amount
$627
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-12-30
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 |
|---|---|---|---|---|
| I20041230000410 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 150 | 14 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 41 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 29 | $0 |
Insurance plans in this area (ZIP 76262)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| - | TX |
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