Active NPI 1609867308 Individual Practitioner Male Practitioner

Dr. Ricardo David Martinez , MD

Surgery • Mcallen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ricardo Martinez, MD is a certified Surgery practicing in Mcallen, TX. With approximately 34 years of clinical experience since graduating from Yale University School Of Medicine in 1992, Dr. Martinez delivers high-quality medical care to the local community at 1100 E DOVE AVE STE 300.

Dr. Martinez is affiliated with Renaissance Specialty Surgery and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with moderate level of 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

1100 E Dove Ave Ste 300

Mcallen, TX 78504

Telephone 9563628170

Fax 9563628168

Associated Practice Facility / Clinic

🏢 Renaissance Specialty Surgery Facility NPI 1174952907

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mcallen, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +5.8 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

28 Specialists

Practicing in Mcallen, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (34 Years) 34 Yrs

Mcallen Specialty Average (28.2 Years) 28.2 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$480.00	$122.45
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$261.00	$62.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	13	$369.00	$91.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$321.00	$78.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$180.00	$63.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$93.00	$34.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$275.00	$130.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$192.00	$79.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$253.00	$95.28

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	38	38	$192.00	$81.22
99213 Established patient office or other outpatient visit, typically 15 minutes	35	27	$180.00	$65.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$93.00	$35.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$275.00	$132.34
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$148.00	$47.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$540.00	$193.28

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	84	37	$178.00	$70.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$192.00	$82.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	27	$93.00	$35.56
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$156.67	$66.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$440.00	$133.22
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$148.00	$48.59
99238 Hospital discharge day management, 30 minutes or less	13	13	$408.00	$70.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$440.00	$137.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$192.00	$75.18
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$140.00	$50.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$93.00	$25.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$275.00	$127.94
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$148.00	$50.38

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	76	76	$192.00	$74.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	68	$440.00	$135.07
99213 Established patient office or other outpatient visit, typically 15 minutes	66	57	$140.00	$50.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	34	$93.00	$25.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$275.00	$127.25
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$148.00	$49.96

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	92	92	$192.00	$72.31
99213 Established patient office or other outpatient visit, typically 15 minutes	81	65	$140.00	$48.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$275.00	$122.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$440.00	$129.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$93.00	$24.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$192.00	$100.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$173.00	$74.32
49505 Repair of groin hernia (5 years or older)	11	11	$2430.00	$492.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$93.00	$40.80

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	106	105	$298.11	$149.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	67	$196.80	$99.10
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$131.50	$67.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$192.00	$70.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$291.43	$127.74
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2050.07	$668.31
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$200.00	$94.67

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX J4906

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

102434103 (TX)

Medicaid State Provider ID

102434102 (TX)

Hospital & Practice Group Affiliations

Renaissance Specialty Surgery

1100 E Dove Ave, Mcallen, TX 785044682

Phone: 9563628170

Secondary Practice Locations

5323 S Mccoll Rd

Edinburg, TX 785399115

Phone: 9569941025

Practice Associates & Co-Workers

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

22 Associated Practitioners

Ambur Ledbetter , APRN-CNP

Nurse Practitioner - Family

NPI 1043738750

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Fernando Lambreton Hinojosa , MD

Colon & Rectal Surgery

NPI 1063906469

Doctor of Medicine (M.D.)

Salma Ruiz Sandoval

Physician Assistant

NPI 1073203873

Dr. Alejandro Garza , MD

Surgery - Vascular Surgery

NPI 1073990990

Doctor of Medicine (M.D.)

Dr. Gabriel Gonzalez , MD

Surgery - Vascular Surgery

NPI 1134516016

Doctor of Medicine (M.D.)

Dr. Roy Edwards , DO

Surgery - Surgical Critical Care

NPI 1255530309

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location August 28, 2018

Registered at 1100 E DOVE AVE STE 300, MCALLEN, TX 78504 (Tel: 9563628170)

✅

NPI Profile Active November 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2017

Registered at 5323 S MCCOLL RD, EDINBURG, TX 785399115 (Tel: 9569941025)

📍

Updated Business Mailing Address November 03, 2017

Registered at PO BOX 2975, MCALLEN, TX 785022975 (Tel: 9569941025)

👤

Provider Name / Credentials Updated November 03, 2017

Recorded as RICARDO MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2017

Surgery (License #J4906 in TX)

✅

NPI Profile Active October 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2011

Registered at 5513 DOCTORS DR, EDINBURG, TX 785395563 (Tel: 9569941025)

📍

Updated Business Mailing Address October 17, 2011

Registered at PO BOX 720480, MCALLEN, TX 785040480 (Tel: 9569941025)

👤

Provider Name / Credentials Updated October 17, 2011

Recorded as RICARDO MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2011

Surgery (License #J4906 in TX)

🟢

Initial NPI Registration & Enumeration November 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Ricardo Martinez. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609867308

Entity Type:

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

Enumeration Date: November 02, 2005

Last Update: August 28, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 2975

Mcallen, TX 785022975

Phone: 9563628170

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.