Active NPI 1760634349 Individual Practitioner Female Practitioner

Dr. Sylvia Martinez , MD

Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sylvia Martinez, MD is a certified Surgery practicing in Houston, TX. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Martinez delivers high-quality medical care to the local community at 6550 FANNIN ST.

Dr. Martinez maintains professional affiliations with Houston Methodist Specialty Physicians, Tmh Physician Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6550 Fannin St
Suite 1601

Houston, TX 770302717

Telephone 7134415141

Fax 7137906470

Associated Practice Facility / Clinic

🏢 Colon & Rectal Clinic, P. A. Facility NPI 1245223262

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -0.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

376 Specialists

Practicing in Houston, TX (2342 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (20 Years) 20 Yrs

Houston Specialty Average (20.3 Years) 20.3 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	154	63	$302.00	$118.42
99291 Critical care, first 30-74 minutes	84	22	$672.15	$211.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	65	$401.00	$130.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	28	$211.00	$78.65
47562 Removal of gallbladder using an endoscope	11	11	$3707.00	$697.56
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$296.00	$83.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	37	$302.00	$119.73
99291 Critical care, first 30-74 minutes	66	32	$672.15	$216.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	54	$401.00	$130.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	25	$211.00	$80.20
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$296.00	$84.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	86	36	$672.15	$221.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	45	$302.00	$102.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	47	$211.00	$72.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$401.00	$136.26
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$296.00	$102.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$483.00	$171.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	163	68	$654.00	$224.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	142	63	$302.00	$105.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	33	$211.00	$73.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$401.00	$139.36
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$296.00	$103.43
99292 Critical care, each additional 30 minutes	21	14	$328.00	$113.47
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$614.00	$87.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	158	69	$302.00	$106.37
99291 Critical care, first 30-74 minutes	123	67	$654.00	$221.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	53	$401.00	$141.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	30	$211.00	$74.72
99292 Critical care, each additional 30 minutes	31	15	$328.00	$115.08
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$296.00	$105.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	150	82	$654.00	$215.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	131	55	$302.00	$105.34
99221 Initial hospital inpatient care per day, typically 30 minutes	80	76	$296.00	$102.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	40	$211.00	$73.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	145	65	$211.00	$73.27
99291 Critical care, first 30-74 minutes	135	84	$654.00	$221.94
99221 Initial hospital inpatient care per day, typically 30 minutes	78	76	$296.00	$102.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	15	$302.00	$105.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	17	$115.00	$38.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$401.00	$133.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	209	107	$654.00	$218.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	41	$211.00	$73.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	110	62	$115.00	$39.35
99221 Initial hospital inpatient care per day, typically 30 minutes	64	61	$296.00	$99.25
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	23	19	$614.00	$124.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$401.00	$129.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX N6478

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TX TMBPIT#BP10025361

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

285884701 (TX)

Commercial Insurance / Payer ID Bcbs

8CX657 (TX)

Commercial Insurance / Payer ID Bcbs

8DY954 (TX)

Commercial Insurance / Payer ID Rr Medicare

P01507448 (TX)

Hospital & Practice Group Affiliations

Tmh Physician Associates Pllc

6565 Fannin St Main, Houston, TX 770302703

Phone: 7134410428

Tmh Physician Associates Pllc

16605 Southwest Fwy 400 Mob3, Sugar Land, TX 774793500

Phone: 2812750800

Tmh Physician Associates Pllc

6565 Fannin St, Houston, TX 770302703

Tmh Physician Associates Pllc

6550 Fannin St, Houston, TX 770302743

Tmh Physician Associates Pllc

16605 Southwest Fwy, Sugar Land, TX 774793500

Phone: 2812750800

Tmh Physician Associates Pllc

16605 Sw Fwy 410, Sugar Land, TX 774793500

Phone: 2812740148

Tmh Physician Associates Pllc

7575 San Felipe St, Houston, TX 770631777

Phone: 7132669955

Houston Methodist Specialty Physicians

6445 Main St, Houston, TX 770301502

Phone: 7134413150

Houston Methodist Specialty Physicians

6565 Fannin St, Houston, TX 770302703

Houston Methodist Specialty Physicians

6565 Fannin St, Houston, TX 770302703

Practice Associates & Co-Workers

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

38 Associated Practitioners

Dr. Sherilyn Gordon Burroughs , MD

Transplant Surgery

NPI 1003841990

Doctor of Medicine (M.D.)

Dr. Nestor Esnaola , MD

Surgery - Surgical Oncology

NPI 1013021666

Doctor of Medicine (M.D.)

Lisa Degarmo , NP

Nurse Practitioner - Acute Care

NPI 1063727485

Nurse Practitioner

Dr. Ahmed Gaber , MD

Transplant Surgery

NPI 1073579835

Doctor of Medicine (M.D.)

Dr. Lee Morris , MD

Surgery - Vascular Surgery

NPI 1134300387

Doctor of Medicine (M.D.)

Dr. Jasleen Randhawa , MD

Internal Medicine - Hematology & Oncology

NPI 1134305675

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 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2017

Registered at 6550 FANNIN ST, SUITE 1601, HOUSTON, TX 770302717 (Tel: 7134415141)

📍

Updated Business Mailing Address January 17, 2017

Registered at 6550 FANNIN ST, SUITE 1601, HOUSTON, TX 770302717 (Tel: 7134415141)

👤

Provider Name / Credentials Updated January 17, 2017

Recorded as SYLVIA MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

Surgery (License #N6478 in TX)

✅

NPI Profile Active October 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2011

Registered at 6560 FANNIN STREET, SUITE 1750, HOUSTON, TX 77030 (Tel: 7137904830)

📍

Updated Business Mailing Address October 26, 2011

Registered at 6560 FANNIN STREET, SUITE 1750, HOUSTON, TX 77030 (Tel: 7137904830)

👤

Provider Name / Credentials Updated October 26, 2011

Recorded as SYLVIA MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2011

Surgery (License #N6478 in TX)

🟢

Initial NPI Registration & Enumeration October 15, 2008

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: 1760634349

Entity Type:

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

Enumeration Date: October 15, 2008

Last Update: January 17, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6550 Fannin St, Suite 1601

Houston, TX 770302717

Phone: 7134415141

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.