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Dr. Celia C Martinez , DO

Pediatrics โ€ข Springfield, MA

Active NPI 1720472640 Individual Practitioner Female Practitioner
Practice location in NPPES

3400 Main St
Springfield, MA 011071113

Call 4137948777 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3400 Main St

Springfield, MA 011071113

Telephone 4137948777
Fax 4137948226
Organization at the Same NPPES Address or Phone
Baystate Northern Edge Adult Medicine Facility NPI 1295289056

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Springfield, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $5,643 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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 โ€“ by Provider and Service, 2023.

Paid by Medicare

About $4,473 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

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 โ€“ by Provider and Service, 2023.

30-day fills

45 standardized 30-day fills in 2023

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

$243 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $127.02 in 2020

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2020.

Guide: How to read an Open Payments record

NPI first issued

2015

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

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.

Guide: What Medicare enrollment (PECOS) means

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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Martinez are from 2023.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Martinez are from 2023.

86 active clinicians are listed under Pediatrics with a practice address in Springfield, MA (2,628 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

1.2% of these 86 clinicians have the CMS telehealth indicator.

14% of these 86 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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

Open Payments ยท Program Year 2020

Program year 2020 (payments made January 1 โ€“ December 31, 2020): fewer than 11 records totaling $127.02.

Manufacturer Payment Nature Product Type Amount ($)
Teva Pharmaceuticals USA, Inc.
Food and Beverage
In-kind items and services
AJOVY General $127.02

Source: CMS Open Payments, program year 2020, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2022 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 โ€“ by Provider and Service data, 2019โ€“2023; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
25 25 $173.00 $91.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $250.00 $132.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
12 12 $261.00 $134.94

Source: CMS Part B by Provider and Service, 2023; 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 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 15 1,350 $242.96 โ€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-02-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MA 281197

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES TX S3237

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES MA 281197

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20191219002644

Enrollment State Jurisdiction

TX

PECOS Control ID

0749595429

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

759 Chestnut St

Springfield, MA 011071619

Phone: 4137942398

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Cambel Berk , MD

Internal Medicine

NPI 1316280605

Doctor of Medicine (M.D.)

Dr. Ritika Bhatt , MD

Internal Medicine

NPI 1386781136

Doctor of Medicine (M.D.)

Deborah Blume , PA

Physician Assistant

NPI 1003015686

Physician Assistant

Dr. Eugene Boss , MD

Internal Medicine

NPI 1861403412

Doctor of Medicine (M.D.)

Dr. Jeffrey Cossin , MD

Internal Medicine

NPI 1740297407

Doctor of Medicine (M.D.)

Jodi Devine , LICSW

Social Worker - Clinical

NPI 1922122936

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
๐Ÿ“
Updated Practice Location February 15, 2022

Registered at 3400 MAIN ST, SPRINGFIELD, MA 011071113 (Tel: 4137948777)

๐Ÿ“
Updated Business Mailing Address February 15, 2022

Registered at 280 CHESTNUT ST FL 2, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

๐Ÿ“
Updated Practice Location February 24, 2020

Registered at 1850 W STATE HIGHWAY 46 STE 109, NEW BRAUNFELS, TX 781325283 (Tel: 8306437000)

๐Ÿ“
Updated Business Mailing Address February 24, 2020

Registered at PO BOX 846098, DALLAS, TX 752841001 (Tel: 9035931721)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2020

Internal Medicine (license number reported to NPPES: TX S3237)

๐Ÿ“
Updated Practice Location June 20, 2019

Registered at 11 WILBRAHAM RD, SPRINGFIELD, MA 011093161 (Tel: 4137943710)

๐Ÿ“
Updated Business Mailing Address June 20, 2019

Registered at 280 CHESTNUT ST FL 2, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

๐Ÿ‘ค
Provider Name / Credentials Updated June 20, 2019

Recorded as CELIA MARTINEZ, DO

โœ…
NPI Profile Active March 28, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 28, 2015

Registered at BAYSTATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 011990001 (Tel: 4137940000)

๐Ÿ“
Business Mailing Address (Initial Record) March 28, 2015

Registered at BAYSTATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 011990001 (Tel: 4137940000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 28, 2015

Recorded as CELIA MARTINEZ

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2015

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration March 28, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720472640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2015
Last Update: February 15, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Springfield

All Pediatrics Specialists in Springfield

Mailing Address

280 Chestnut St Fl 2

Springfield, MA 011991001

Phone: 4137945700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.