Active NPI 1780638445 Individual Practitioner Male Practitioner

Dr. Michael F Martinez , MD, FACS

Surgery • Palmerton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Martinez, MD, FACS is a certified Surgery practicing in Palmerton, PA. With approximately 31 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1995, Dr. Martinez delivers high-quality medical care to the local community at 255 DELAWARE AVE.

Dr. Martinez maintains professional affiliations with Gslpg, Inc, St Lukes Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

255 Delaware Ave

Palmerton, PA 180711812

Telephone 6108264595

Fax 6108264399

Associated Practice Facility / Clinic

🏢 Carbon Surgical Associates, Pc Facility NPI 1578515599

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Palmerton, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +8.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Palmerton, PA (1976 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (31 Years) 31 Yrs

Palmerton Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	160	137	$148.95	$88.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	47	$144.18	$77.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$219.00	$108.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	38	$293.83	$129.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$406.82	$170.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$219.10	$126.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$332.58	$158.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	15	$206.45	$116.86
49650 Repair of groin hernia using an endoscope	19	19	$1323.32	$464.13
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1961.14	$713.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	130	$144.95	$87.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	53	$140.62	$76.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$213.00	$108.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$287.00	$127.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$322.48	$157.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$398.68	$163.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$212.00	$123.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$84.21	$53.51
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$201.86	$81.18
49650 Repair of groin hernia using an endoscope	11	11	$1014.18	$334.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	143	$140.99	$88.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	32	$136.96	$69.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$207.42	$107.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	29	$207.09	$123.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$276.88	$132.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$310.97	$165.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$83.33	$55.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$196.00	$100.50
49505 Repair of groin hernia (5 years or older)	11	11	$1561.18	$574.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	158	$137.34	$90.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$202.00	$110.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	35	$132.21	$71.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$305.92	$166.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$202.11	$128.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$81.37	$55.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$269.88	$134.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$376.73	$198.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	142	$134.29	$74.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$198.18	$106.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	45	$197.17	$107.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$299.33	$163.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	32	$128.30	$72.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$264.00	$138.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$78.91	$44.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	11	$50.40	$22.52
49505 Repair of groin hernia (5 years or older)	14	14	$1361.43	$556.62
10060 Simple or single drainage of skin abscess	13	12	$221.85	$111.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	145	$129.86	$50.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	67	$190.37	$76.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$190.41	$74.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	58	$76.65	$25.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	52	$125.55	$71.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$255.60	$134.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$290.59	$127.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	17	$49.22	$8.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1691.47	$724.76
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$130.50	$71.94
10060 Simple or single drainage of skin abscess	15	14	$212.80	$89.82
49505 Repair of groin hernia (5 years or older)	15	15	$1315.07	$542.68
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$182.29	$89.11
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$287.83	$86.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	123	$85.24	$68.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	70	$115.95	$68.59
99213 Established patient office or other outpatient visit, typically 15 minutes	71	55	$128.00	$49.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$126.05	$101.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$195.00	$155.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	45	$131.02	$101.61
99221 Initial hospital inpatient care per day, typically 30 minutes	45	45	$131.93	$97.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	18	$75.00	$24.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$55.00	$41.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$202.87	$131.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$187.00	$75.03
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1192.75	$677.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$293.25	$194.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$284.00	$123.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$187.00	$73.41
10060 Simple or single drainage of skin abscess	11	11	$163.00	$107.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	260	183	$85.00	$65.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	70	$114.14	$66.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$195.00	$149.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$125.00	$95.91
99221 Initial hospital inpatient care per day, typically 30 minutes	77	74	$125.00	$93.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	59	$55.00	$38.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	61	$130.00	$95.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$175.00	$125.75
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1050.00	$651.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$407.89	$100.62
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$500.00	$318.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$50.00	$17.57
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	14	$300.00	$149.51

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD063535L

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0017949770002 (PA)

Medicaid State Provider ID

001794977 (PA)

Commercial Insurance / Payer ID Railroad Medicare

CH1856 (PA)

Hospital & Practice Group Affiliations

St Lukes Physician Group Inc

801 Ostrm St, Bethlehem, PA 180151000

St Lukes Physician Group Inc

255 Delaware Ave, Palmerton, PA 180711812

Phone: 6108264595

St Lukes Physician Group Inc

1736 W Hamilton St, Allentown, PA 181045656

Phone: 6109543571

St Lukes Physician Group Inc

360 W Riddle St, Coaldale, PA 182181027

St Lukes Physician Group Inc

211 N 12 St, Lehighton, PA 182351138

St Lukes Physician Group Inc

1736 Hamilton St, Allentown, PA 181045656

Phone: 4845268142

St Lukes Physician Group Inc

500 St Lukes Dr, Lehighton, PA 182355000

Phone: 4845262200

Gslpg, Inc

100 Paramount Blvd, Orwigsburg, PA 179612202

Phone: 2726394990

Practice Associates & Co-Workers

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

1 Associated Practitioners

Alexandros Dimitriadis , PA-C

Physician Assistant

NPI 1083162671

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2013

Registered at 255 DELAWARE AVE, PALMERTON, PA 180711812 (Tel: 6108264595)

📍

Updated Business Mailing Address September 24, 2013

Registered at 255 DELAWARE AVE, PALMERTON, PA 180711812 (Tel: 6108264595)

👤

Provider Name / Credentials Updated September 24, 2013

Recorded as MICHAEL MARTINEZ, MD, FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Surgery (License #MD063535L in PA)

🟢

Initial NPI Registration & Enumeration May 19, 2006

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: 1780638445

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: September 24, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

255 Delaware Ave

Palmerton, PA 180711812

Phone: 6108264595

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.