Active NPI 1679545370 Individual Practitioner Male Practitioner

Dr. Jose Martinez , MD

Ophthalmology • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Martinez, MD is a certified Ophthalmology practicing in Austin, TX. With approximately 38 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1988, Dr. Martinez delivers high-quality medical care to the local community at 801 W 38TH ST.

Dr. Martinez is affiliated with Austin Retina Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, pegcetacoplan, intravitreal, 1 mg, injection, faricimab-svoa, 0.1 mg, injection, aflibercept hd, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 W 38th St
Suite 200

Austin, TX 787051169

Telephone 5124510103

Fax 5124512741

Associated Practice Facility / Clinic

🏢 Austin Retina Associates Pllc Facility NPI 1114999828

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

116 Specialists

Practicing in Austin, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (38 Years) 38 Yrs

Austin Specialty Average (24.0 Years) 24.0 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
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	6,495	79	$336.00	$147.41
J2777 Injection, faricimab-svoa, 0.1 mg	5,520	26	$84.00	$34.29
J0177 Injection, aflibercept hd, 1 mg	4,472	161	$693.75	$331.08
92134 Imaging of retina	2,085	893	$124.98	$41.32
67028 Injection of drug into eye	1,454	420	$550.00	$136.00
J2782 Injection, avacincaptad pegol, 0.1 mg	960	17	$250.00	$108.44
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	954	73	$1000.00	$223.71
J0178 Injection, aflibercept, 1 mg	844	135	$2000.00	$826.86
92014 Established patient complete exam of visual system	494	466	$265.00	$130.52
99213 Established patient office or other outpatient visit, typically 15 minutes	392	290	$199.82	$94.24
92235 Exam of retinal blood vessels using a special camera after injection of a dye	369	311	$269.74	$166.54
92250 Photography of the retina	340	281	$95.00	$37.58
J3490 Unclassified drugs	275	137	$5550.00	$2649.37
92004 New patient complete exam of visual system	108	108	$315.00	$151.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	80	$270.00	$133.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$350.00	$173.24
76512 Ultrasound of eye disease, growth, or structure	43	31	$150.00	$47.66
92012 Established patient problem focused exam of visual system	42	41	$190.00	$89.81
J9035 Injection, bevacizumab, 10 mg	29	17	$150.00	$66.23
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	14	14	$2310.00	$1197.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	8,041	34	$84.00	$36.62
J0178 Injection, aflibercept, 1 mg	2,768	262	$2000.00	$869.04
92134 Imaging of retina	2,369	815	$125.00	$40.31
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	2,101	79	$336.00	$151.06
67028 Injection of drug into eye	1,733	386	$550.00	$130.59
99213 Established patient office or other outpatient visit, typically 15 minutes	648	386	$200.00	$90.60
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	557	45	$1000.00	$266.54
92014 Established patient complete exam of visual system	450	415	$265.00	$128.02
92235 Exam of retinal blood vessels using a special camera after injection of a dye	421	326	$270.00	$139.73
J3490 Unclassified drugs	417	159	$5262.13	$2409.68
92250 Photography of the retina	350	282	$95.00	$37.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	146	$270.00	$127.93
J2778 Injection, ranibizumab, 0.1 mg	137	15	$859.12	$227.20
92004 New patient complete exam of visual system	117	117	$315.00	$151.44
92012 Established patient problem focused exam of visual system	92	85	$190.00	$91.39
J9035 Injection, bevacizumab, 10 mg	68	28	$150.00	$69.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$350.00	$166.42
76512 Ultrasound of eye disease, growth, or structure	32	25	$150.00	$47.25
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	17	17	$2310.00	$1102.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	4,134	368	$2000.00	$903.12
92134 Imaging of retina	2,788	1,069	$85.00	$39.88
67028 Injection of drug into eye	1,941	451	$550.00	$128.45
J2777 Injection, faricimab-svoa, 0.1 mg	1,260	16	$84.00	$37.45
99213 Established patient office or other outpatient visit, typically 15 minutes	1,163	577	$125.00	$90.69
J2778 Injection, ranibizumab, 0.1 mg	626	30	$838.82	$267.96
92235 Exam of retinal blood vessels using a special camera after injection of a dye	602	455	$200.00	$128.80
92014 Established patient complete exam of visual system	585	545	$200.00	$128.54
92250 Photography of the retina	400	318	$95.00	$36.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	219	$150.00	$128.09
J9035 Injection, bevacizumab, 10 mg	172	56	$102.33	$68.33
92004 New patient complete exam of visual system	163	163	$200.00	$152.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$225.00	$163.15
76512 Ultrasound of eye disease, growth, or structure	43	34	$100.00	$48.17
92012 Established patient problem focused exam of visual system	38	37	$150.00	$90.21
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	27	27	$1550.00	$1116.81
67036 Removal of eye fluid (vitreous) between the lens and retina	15	12	$1500.00	$858.05
92083 Exam of visual field with extended testing	13	11	$100.00	$66.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	4,642	348	$2000.00	$917.06
92134 Imaging of retina	2,777	949	$85.00	$41.51
67028 Injection of drug into eye	2,231	436	$550.00	$129.70
J2778 Injection, ranibizumab, 0.1 mg	782	26	$816.11	$305.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	743	464	$150.00	$129.61
92250 Photography of the retina	699	559	$95.00	$37.30
99213 Established patient office or other outpatient visit, typically 15 minutes	652	434	$125.00	$91.96
92014 Established patient complete exam of visual system	572	530	$200.00	$129.78
92235 Exam of retinal blood vessels using a special camera after injection of a dye	565	445	$200.00	$120.38
J7999 Compounded drug, not otherwise classified	208	68	$100.00	$85.00
92012 Established patient problem focused exam of visual system	161	149	$150.00	$91.87
92004 New patient complete exam of visual system	156	156	$200.00	$152.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$225.00	$168.67
J9035 Injection, bevacizumab, 10 mg	91	23	$100.00	$70.96
76512 Ultrasound of eye disease, growth, or structure	60	50	$100.00	$49.54
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	18	18	$1550.00	$1123.18
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	15	13	$500.00	$341.92
92083 Exam of visual field with extended testing	13	11	$100.00	$63.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$200.00	$183.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	4,006	324	$2000.00	$928.19
92134 Imaging of retina	2,543	828	$85.00	$41.12
67028 Injection of drug into eye	2,165	460	$550.81	$112.47
92012 Established patient problem focused exam of visual system	1,374	661	$149.76	$89.27
J2778 Injection, ranibizumab, 0.1 mg	919	35	$812.73	$331.39
92250 Photography of the retina	723	564	$95.12	$42.26
92014 Established patient complete exam of visual system	667	645	$199.91	$127.77
92235 Exam of retinal blood vessels using a special camera after injection of a dye	515	413	$200.00	$104.98
J9035 Injection, bevacizumab, 10 mg	327	100	$100.00	$78.43
92004 New patient complete exam of visual system	170	170	$199.47	$151.56
76512 Ultrasound of eye disease, growth, or structure	63	47	$100.00	$51.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$225.00	$165.43
J7999 Compounded drug, not otherwise classified	43	33	$100.00	$85.00
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	32	27	$225.00	$136.00
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$123.55	$75.67
92083 Exam of visual field with extended testing	21	14	$100.00	$64.63
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	17	16	$1635.29	$1190.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$150.00	$107.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	4,168	329	$2000.00	$940.89
92134 Imaging of retina	3,063	970	$85.00	$40.78
67028 Injection of drug into eye	2,475	476	$556.86	$108.79
92012 Established patient problem focused exam of visual system	1,492	748	$125.05	$87.71
J2778 Injection, ranibizumab, 0.1 mg	1,151	49	$825.02	$337.33
92014 Established patient complete exam of visual system	797	775	$170.00	$126.67
92250 Photography of the retina	784	610	$105.00	$45.92
92235 Exam of retinal blood vessels using a special camera after injection of a dye	593	475	$200.00	$90.69
J9035 Injection, bevacizumab, 10 mg	430	154	$99.77	$79.27
92004 New patient complete exam of visual system	233	233	$170.13	$148.65
99213 Established patient office or other outpatient visit, typically 15 minutes	102	88	$110.00	$73.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$225.00	$163.90
76512 Ultrasound of eye disease, growth, or structure	66	49	$160.00	$58.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$160.00	$105.08
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	24	17	$1000.00	$320.71
92225 Examination of eye by ophthalmoscope with retinal drawing	22	19	$45.00	$27.61
67105 Repair of detached retina, 1 or more sessions, with a lazer	19	17	$900.00	$302.58
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	18	18	$3000.00	$1128.46
67145 Photocoagulation treatment to prevent detachment of retina	16	16	$1050.00	$508.83
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	14	11	$225.00	$136.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	3,498	262	$2000.00	$948.69
92134 Imaging of retina	3,027	934	$85.04	$40.86
67028 Injection of drug into eye	2,236	445	$550.00	$107.82
92012 Established patient problem focused exam of visual system	1,461	713	$125.00	$86.16
J2778 Injection, ranibizumab, 0.1 mg	938	35	$810.55	$370.50
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	880	15	$6.25	$3.80
92014 Established patient complete exam of visual system	724	698	$170.00	$124.80
92250 Photography of the retina	617	523	$104.98	$50.73
J9035 Injection, bevacizumab, 10 mg	571	186	$100.00	$75.22
92235 Exam of retinal blood vessels using a special camera after injection of a dye	517	447	$200.08	$84.90
92004 New patient complete exam of visual system	224	224	$170.00	$149.45
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	133	11	$257.15	$197.10
99213 Established patient office or other outpatient visit, typically 15 minutes	123	105	$110.00	$71.39
76512 Ultrasound of eye disease, growth, or structure	71	54	$160.00	$70.91
92225 Examination of eye by ophthalmoscope with retinal drawing	62	41	$45.00	$26.79
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	54	30	$1000.00	$327.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	51	$160.00	$105.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$226.28	$162.68
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	27	27	$3000.00	$1117.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$264.12	$193.86
67145 Photocoagulation treatment to prevent detachment of retina	14	13	$1050.00	$492.22
67108 Repair of detached retina and drainage of eye fluid between lens and retina	13	13	$4423.08	$1212.87
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$50.00	$24.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,860	226	$1994.41	$961.06
92134 Imaging of retina	2,749	877	$85.00	$39.99
67028 Injection of drug into eye	2,070	433	$550.00	$106.09
92012 Established patient problem focused exam of visual system	969	607	$125.00	$83.45
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	838	15	$5.24	$3.41
J2778 Injection, ranibizumab, 0.1 mg	825	44	$810.91	$372.84
92014 Established patient complete exam of visual system	758	727	$170.00	$120.50
92250 Photography of the retina	698	542	$105.00	$64.74
J9035 Injection, bevacizumab, 10 mg	671	226	$100.00	$71.90
92235 Exam of retinal blood vessels using a special camera after injection of a dye	619	483	$200.00	$75.88
99213 Established patient office or other outpatient visit, typically 15 minutes	478	355	$110.00	$71.49
92004 New patient complete exam of visual system	242	242	$170.00	$145.53
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	133	12	$257.15	$197.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	16	$53.85	$1.64
76512 Ultrasound of eye disease, growth, or structure	62	43	$160.00	$88.75
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	45	23	$1000.00	$330.02
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	25	25	$3000.00	$1108.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$250.00	$161.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$160.00	$106.57
67210 Laser destruction of retinal growth, 1 or more sessions	15	12	$1135.00	$520.02
67145 Photocoagulation treatment to prevent detachment of retina	12	11	$1050.00	$471.82
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$50.00	$26.65

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX H6411

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License TX H6411

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

139156717 (TX)

Medicaid State Provider ID

139156713 (TX)

Commercial Insurance / Payer ID Bcbs Tx

883205 (TX)

Commercial Insurance / Payer ID Railroad Medicare

180022149 (TX)

Hospital & Practice Group Affiliations

Austin Retina Associates Pllc

801 W 38th St, Austin, TX 787051169

Phone: 5124510103

Practice Associates & Co-Workers

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

17 Associated Practitioners

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Ophthalmology

NPI 1043773187

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Dr. Philip Storey , MD

Ophthalmology

NPI 1053614453

Doctor of Medicine (M.D.)

Dr. Robert Wong , MD

Ophthalmology

NPI 1275699274

Doctor of Medicine (M.D.)

Dr. Peter Nixon , MD

Ophthalmology

NPI 1467438531

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 May 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 04, 2017

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

📍

Updated Business Mailing Address May 04, 2017

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

👤

Provider Name / Credentials Updated May 04, 2017

Recorded as JOSE MARTINEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2017

Ophthalmology (License #H6411 in TX)

✅

NPI Profile Active November 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2009

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

📍

Updated Business Mailing Address November 18, 2009

Registered at 801 W 38TH ST, SUITE 200, AUSTIN, TX 787051169 (Tel: 5124510103)

👤

Provider Name / Credentials Updated November 18, 2009

Recorded as JOSE MARTINEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2009

Ophthalmology (License #H6411 in TX)

🟢

Initial NPI Registration & Enumeration February 06, 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: 1679545370

Entity Type:

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

Enumeration Date: February 06, 2006

Last Update: May 04, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 W 38th St, Suite 200

Austin, TX 787051169

Phone: 5124510103

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.