Active NPI 1043506942 Individual Practitioner Male Practitioner

Dr. Derek Martinez , MD

Neurological Surgery • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Martinez, MD is a certified Neurological Surgery practicing in Peoria, IL. With approximately 15 years of clinical experience since graduating from Wayne State University School Of Medicine in 2011, Dr. Martinez delivers high-quality medical care to the local community at 530 NE GLEN OAK AVE.

Dr. Martinez is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552642

Associated Practice Facility / Clinic

🏢 University Of Illinois Facility NPI 1255301909

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Peoria, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -9.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Peoria, IL (397 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (15 Years) 15 Yrs

Peoria Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$183.00	$75.31
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$147.33	$60.87
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	14	$1011.00	$214.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$79.00	$32.63
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	14	14	$1986.14	$499.59
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$106.25	$43.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$295.00	$123.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	32	32	$1874.97	$693.48
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	16	$1031.63	$197.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$291.96	$125.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$184.88	$77.50
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$143.25	$62.32
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$6937.33	$1445.69
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$4532.45	$811.93
63005 Partial removal of bone and/or release of lower spinal cord or spinal nerves	11	11	$2447.64	$873.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	37	36	$1852.00	$696.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$273.31	$127.26
61868 Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, each additional array	23	23	$1089.00	$414.18
61867 Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, first array	23	23	$4958.00	$1919.67
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$115.80	$63.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$58.29	$34.12
61783 Computer-assisted spinal procedure	12	12	$509.00	$191.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$251.16	$129.24
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	29	29	$1852.00	$730.26
99441 Telephone medical discussion with physician, 5-10 minutes	20	19	$68.80	$34.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$48.24	$34.34
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$96.00	$64.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$136.00	$67.86
61868 Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, each additional array	12	12	$1089.00	$411.38
61867 Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, first array	12	12	$4958.00	$1894.36
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$189.00	$88.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$148.00	$94.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$251.18	$125.01
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$96.00	$49.76
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	19	19	$1876.37	$761.25
99441 Telephone medical discussion with physician, 5-10 minutes	18	17	$48.00	$24.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$148.00	$76.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$48.00	$24.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$241.39	$122.14
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	32	31	$1852.58	$738.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$148.68	$74.86
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$95.11	$48.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$162.25	$71.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$163.00	$72.20

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License IL 125060255

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

190 E Bannock St, Boise, ID 837126241

Phone: 2083819384

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Jacqueline Boyle , MD

Student in an Organized Health Care Education/Training Program

NPI 1033738026

Doctor of Medicine (M.D.)

Stephanie Menezes

Student in an Organized Health Care Education/Training Program

NPI 1063162063

Dr. Paul Macmahon , MD

Neurological Surgery

NPI 1295173789

Doctor of Medicine (M.D.)

Dr. Andrew Tsung , MD

Neurological Surgery

NPI 1760685390

Doctor of Medicine (M.D.)

William Miller

Student in an Organized Health Care Education/Training Program

NPI 1811516800

Dr. Ansh Desai , MD

Student in an Organized Health Care Education/Training Program

NPI 1992558365

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2017

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552642)

📍

Updated Business Mailing Address January 24, 2017

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001

👤

Provider Name / Credentials Updated January 24, 2017

Recorded as DEREK MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Neurological Surgery (License #125060255 in IL)

✅

NPI Profile Active June 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2011

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552642)

📍

Updated Business Mailing Address June 20, 2011

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001

👤

Provider Name / Credentials Updated June 20, 2011

Recorded as DEREK MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Neurological Surgery (License #125060255 in IL)

🟢

Initial NPI Registration & Enumeration June 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043506942

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2011

Last Update: January 24, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.