JORDAN LEE MARTINEZ (DO) – Pediatrics Physician, NPI 1275925018
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JORDAN LEE MARTINEZ (DO)
2350 W HORIZON RIDGE PKWY
HENDERSON, NV 890525075
Phone: (702) 564-8556
Fax: (702) 564-4485
Type: Mailing
6980 S CIMARRON RD STE 100
LAS VEGAS, NV 891132185
Phone: (702) 564-8556
Fax: (702) 564-4485
Type: Location
200 MULLINS DR
LEBANON, OR 973553983
Phone:
Type: Mailing
2350 WEST HERIZON RIDGE PARKWAY
HENDERSON, NV 89052
Phone: (702) 564-8556
Fax: (702) 564-4485
Type: Mailing
6980 S. CIMARRON ROAD, SUITE 100
LAS VEGAS, NV 891132135
Phone: (702) 564-8556
Fax: (702) 564-4485
Type: Location
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Cranial Technologies, Inc ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cranial Technologies, Inc | $19 |
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: 2024-04-16
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 |
|---|---|---|---|---|
| I20240416002515 | I | Pediatric Medicine | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89052)
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Reviews
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