MR. JOHN A MARTINI (MD) – Family Medicine Physician, NPI 1033119276
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,087 HOSPITALIST in WI
Provider Addresses for MR. JOHN A MARTINI (MD)
3805, Spring Street, Mount Pleasant, Wisconsin, 53405, United States
STE 250
RACINE, WI 534051641
Phone: (262) 634-6679
Fax: (262) 634-7935
Type: Mailing
111 E WISCONSIN AVE
MILWAUKEE, WI 532024815
Phone: (414) 290-6700
Type: Mailing
9555 76TH ST
PLEASANT PRAIRIE, WI 531581984
Phone: (262) 671-7050
Type: Location
6308 8TH AVE
KENOSHA, WI 531435031
Phone: (262) 656-3172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $509.
Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($224).
Total Amount
$509
General + Research + Ownership
Payments
8
Total payment records
General Amount
$509
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $224 |
| Recor Medical Inc | $157 |
| Alexion Pharmaceuticals, Inc. | $128 |
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: 2004-11-15
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 |
|---|---|---|---|---|
| I20041115000523 | I | Family Practice | WI | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 143 | 48 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 100 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 41 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 68 | 44 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 44 | 22 | $0 |
Insurance plans in this area (ZIP 53405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Pulmonary Disease | WI | |
| Physician Assistant | IN | |
| Pulmonary Disease | IL |
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