Dr. Agustin Martinez , MD
General Practice • Hialeah, FL
250 E 49th St
Hialeah, FL 330131855
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Agustin Martinez is listed in NPPES under General Practice.
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NPI assigned on June 2, 2006; this date does not establish years in practice.
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Published CMS data list 3,129 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99490 — Chronic care management services: 1,267 service units.
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 797 service units.
- 99349 — Residence visit for established patient with moderate level of medical decision making, per day: 264 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 25,334 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Levothyroxine Sodium — 932 prescription fills, including refills.
- Atorvastatin Calcium — 878 prescription fills, including refills.
- Lactulose — 821 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 266 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under General Practice in Hialeah, FL (2024, 26 clinicians with data). Median for this group: 158. Middle half: 103 to 688.
More Medicare Part B services than 90% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 6,071 in 2020 to 3,129 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
250 E 49th St
Hialeah, FL 330131855
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Agustin Martinez M D P A. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1982
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
389 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $274,478 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $218,591 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
27,615 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,450,395 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $35.74 across 2 records.
By nature of payment
- Food and Beverage: $35.74 across 2 records.
Reporting-company totals
- Kowa Pharmaceuticals America, Inc.: $20.00 across 1 record.
- Eli Lilly and Company: $15.74 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
44 years (graduated 1982)
CMS Doctors and Clinicians data list 1982 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Martinez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Martinez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hialeah and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under General Practice in Hialeah, FL (2024, 26 clinicians with data). Median for this group: 158. Middle half: 103 to 688.
More Medicare Part B services than 90% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under General Practice in Hialeah, FL (2024, 26 clinicians with data). Median for this group: $16,524. Middle half: $11,110 to $55,929.
A higher Medicare-allowed amount than 90% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under General Practice in Hialeah, FL (2024, 26 clinicians with data). Median for this group: $12,860. Middle half: $8,483 to $41,345.
A higher Medicare payment amount than 90% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under General Practice in Hialeah, FL (2024, 59 clinicians with data). Median for this group: 3,427. Middle half: 913 to 9,749.
More Part D prescriptions than 95% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under General Practice in Hialeah, FL (2024, 59 clinicians with data). Median for this group: $150,319. Middle half: $46,481 to $583,399.
A higher Part D drug cost than 95% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
99 active clinicians are listed under General Practice with a practice address in Hialeah, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hialeah
14.1% of these 99 clinicians have the CMS telehealth indicator.
46.5% of these 99 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 48% from 6,071 in 2020 to 3,129 in 2024.
- 2020: 6,071
- 2021: 5,541
- 2022: 5,636
- 2023: 3,840
- 2024: 3,129
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Medicare-allowed amount
Medicare-allowed amount decreased 38% from $446,129 in 2020 to $274,478 in 2024.
- 2020: $446,129
- 2021: $394,563
- 2022: $468,383
- 2023: $313,167
- 2024: $274,478
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Paid by Medicare
Paid by Medicare decreased 39% from $359,084 in 2020 to $218,591 in 2024.
- 2020: $359,084
- 2021: $318,404
- 2022: $375,438
- 2023: $250,543
- 2024: $218,591
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 12% from 22,707 in 2020 to 25,334 in 2024.
- 2020: 22,707
- 2021: 21,952
- 2022: 18,811
- 2023: 22,476
- 2024: 25,334
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30-day fills
30-day fills increased 11% from 24,915 in 2020 to 27,615 in 2024.
- 2020: 24,915
- 2021: 24,062
- 2022: 20,702
- 2023: 24,911
- 2024: 27,615
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Part D drug cost
Part D drug cost increased 23% from $1,183,708 in 2020 to $1,450,395 in 2024.
- 2020: $1,183,708
- 2021: $1,154,129
- 2022: $1,107,847
- 2023: $1,318,151
- 2024: $1,450,395
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $141.84 in 2021 to $35.74 in 2025.
- 2021: $141.84
- 2022: $199.34
- 2023: $168.87
- 2024: $107.88
- 2025: $35.74
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $35.74.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Kowa Pharmaceuticals America, Inc. |
Food and Beverage
In-kind items and services
|
ZORYVE | General | $20.00 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $15.74 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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1,267 | 218 | $70.00 | $66.61 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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797 | 118 | $225.00 | $84.31 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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264 | 100 | $400.00 | $135.06 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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212 | 115 | $450.00 | $141.23 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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146 | 75 | $270.00 | $80.35 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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101 | 42 | $200.00 | $96.82 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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90 | 42 | $301.11 | $135.98 |
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99238
Hospital discharge day management, 30 minutes or less
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75 | 58 | $225.00 | $86.30 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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62 | 62 | $250.00 | $138.24 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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50 | 44 | $100.00 | $50.77 |
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97550
Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community, initial 30 minutes
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26 | 24 | $60.00 | $54.96 |
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82962
Blood glucose (sugar) test performed by hand-held instrument
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20 | 12 | $25.00 | $3.21 |
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99496
Transitional care management services for problem of high complexity
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19 | 18 | $235.00 | $235.15 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 932 | 29,182 | $11,410.19 | 119 |
| Atorvastatin Calcium | Atorvastatin Calcium | 878 | 29,520 | $11,993.66 | 140 |
| Lactulose | Lactulose | 821 | 21,135 | $38,713.25 | 115 |
| Famotidine | Famotidine | 774 | 24,744 | $7,652.77 | 118 |
| Lisinopril | Lisinopril | 707 | 22,655 | $5,578.30 | 93 |
| Pantoprazole Sodium | Pantoprazole Sodium | 599 | 18,811 | $7,743.87 | 96 |
| Metformin Hcl | Metformin Hcl | 587 | 19,540 | $4,394.33 | 75 |
| Metoprolol Tartrate | Metoprolol Tartrate | 580 | 17,304 | $4,077.31 | 75 |
| Gabapentin | Gabapentin | 562 | 17,277 | $6,464.43 | 86 |
| Amlodipine Besylate | Amlodipine Besylate | 560 | 18,051 | $3,250.88 | 82 |
| Montelukast Sodium | Montelukast Sodium | 551 | 18,258 | $6,998.32 | 79 |
| Omeprazole | Omeprazole | 551 | 19,244 | $3,944.88 | 81 |
| Fenofibrate | Fenofibrate Nanocrystallized | 538 | 18,805 | $18,091.61 | 73 |
| Eliquis | Apixaban | 526 | 10,501 | $214,694.74 | 55 |
| Furosemide | Furosemide | 519 | 14,657 | $3,177.34 | 86 |
| Tamsulosin Hcl | Tamsulosin Hcl | 461 | 14,582 | $7,607.41 | 65 |
| Losartan Potassium | Losartan Potassium | 433 | 15,517 | $3,746.68 | 75 |
| Clopidogrel | Clopidogrel Bisulfate | 352 | 10,670 | $4,176.11 | 54 |
| Simvastatin | Simvastatin | 346 | 10,989 | $2,394.56 | 45 |
| Metoprolol Succinate | Metoprolol Succinate | 321 | 11,023 | $4,055.18 | 52 |
| Memantine Hcl | Memantine Hcl | 292 | 8,828 | $12,527.12 | 41 |
| Ketoconazole | Ketoconazole | 283 | 8,553 | $9,640.88 | 49 |
| Azithromycin | Azithromycin | 274 | 1,611 | $2,941.68 | 172 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 272 | 9,840 | $5,671.21 | 45 |
| Hydrochlorothiazide | Hydrochlorothiazide | 270 | 9,645 | $1,371.37 | 42 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207Q00000X
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20081121000408
FL
1850395401
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Agustin Martinez M D P A
250 E 49th St, Hialeah, FL 330131855
Phone: 3058226885
Career & Practice History
NPI enumerated June 02, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other General Practices in Hialeah
- Dr. Ricardo Dominguez, MD
- Dr. Justo Felipe, MD
- Dr. Luis Verdecia, MD
- Dr. Ricardo Marino Alemany, MD
- Dr. Heliodoro Ruiz, MD
- Dr. Jorge Garcia, MD
Mailing Address
1324 Sw 143rd Ave
Miami, FL 331843223
Phone: 3058226885