Doctor profile · Federal record
Dr. Nichol Martinez, M.D.
Gastroenterology Physician (CMS: Internal Medicine) · Philadelphia, PA
- NPI 1265850051
- Accepts Medicare
- MIPS 85.0 / 100 · 2023
- 12 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3400 Spruce Street, 3 Dulles Building
Philadelphia, PA 191044206
(215) 349-8222
fax (215) 349-5915
Credentials & registration
- NPI registered
- March 2014 — 12 yrs on file
- Profile last updated
- September 10, 2021
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Pennsylvania #MD472914
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265850051. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
418
Distinct HCPCS
10
Medicare allowed
$55,189
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 97 | 68 | $90 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 81 | 73 | $60 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 52 | 51 | $149 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $195 | |
43237 |
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 25 | 22 | $193 | |
74328 |
Review by radiologist of image from tube placement into bile duct using an endoscope | 25 | 23 | $26 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $148 | |
43264 |
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 20 | 18 | $141 | |
43238 |
Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope | 19 | 19 | $239 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 19 | 18 | $75 |
In context: peer comparison
Among 80 peers in Philadelphia Gastroenterology Physician, average services per provider: 80. This provider delivers 5.2× the peer median.Open Payments
Industry payments received
All-time total
$898
Transactions
16
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 7 | $299.58 | |
| Erbe USA INC | 1 | $265.00 | |
| Steris Corporation | 2 | $155.38 | |
| Olympus America INC. | 3 | $72.30 | |
| Micro-Tech Endoscopy USA, INC. | 1 | $64.96 | |
| 3-D Matrix, INC. | 1 | $27.20 | |
| Hologic Sales and Service, LLC | 1 | $13.21 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
30
Patients
19
Total drug cost
$377
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 19 | 19 | $259 |
| Omeprazole | Generic | 11 | 0 | $118 |
Hospital affiliations
Frequently asked questions
What is Dr. Nichol Martinez's medical specialty?
Dr. Nichol Martinez practices Gastroenterology Physician in Philadelphia, PA.
Where does Dr. Nichol Martinez practice?
Dr. Nichol Martinez practices at 3400 Spruce Street, Philadelphia, PA 191044206. Office phone: 2153498222.
What is Dr. Nichol Martinez's NPI?
Dr. Nichol Martinez's National Provider Identifier (NPI) is 1265850051, issued by NPPES.
Does Dr. Nichol Martinez accept Medicare assignment?
Yes. Dr. Nichol Martinez accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nichol Martinez commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.