Dr. Michael Joel Martinez , MD
Surgery โข Mcallen, TX
533 Pecan Blvd
Mcallen, TX 785012356
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on June 3, 2011; this date does not establish years in practice.
-
Published CMS data list 133 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 70 service units.
- 99213 โ Established patient outpatient office visit: 23 service units.
- 43235 โ Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 5 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 659 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Tramadol Hcl-Acetaminophen (Tramadol Hcl/Acetaminophen) โ 217 prescription fills, including refills.
- Famotidine โ 193 prescription fills, including refills.
- Sucralfate โ 49 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 75% of clinicians listed under Surgery in Mcallen, TX (2024, 25 clinicians with data). Median for this group: 90. Middle half: 41 to 127.
Close to the middle for Medicare Part B services among clinicians listed under Surgery in Texas (2024, 1,113 clinicians with data). Median for this group: 148. Middle half: 72 to 277.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 114 in 2019 to 133 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2024.
Practice Location & Contact Primary Location
533 Pecan Blvd
Mcallen, TX 785012356
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Harlingen, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Gastroenterology Consultants Of South Texas, Pllc. 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
Yale University School Of Medicine
2009
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
86 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 โ by Provider, 2024.
Medicare-allowed amount
About $30,562 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 โ by Provider and Service, 2024.
Paid by Medicare
About $22,712 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 โ by Provider and Service, 2024.
30-day fills
1,005 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
$32,956 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $3,235.23 across 40 records.
By nature of payment
- Food and Beverage: $1,684.65 across 32 records.
- Travel and Lodging: $1,050.58 across 7 records.
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $500.00 across 1 record.
Reporting-company totals (3 largest of 6)
- Boston Scientific Corporation: $1,334.52 across 9 records.
- INTUITIVE SURGICAL, INC.: $1,135.28 across 14 records.
- Davol Inc.: $586.32 across 14 records.
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
17 years (graduated 2009)
CMS Doctors and Clinicians data list 2009 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
2011
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, โDoes your provider accept Medicare as full payment?โ
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 Mcallen and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Surgery in Mcallen, TX (2024, 25 clinicians with data). Median for this group: 90. Middle half: 41 to 127.
Close to the middle for clinicians listed under Surgery in Texas (2024, 1,113 clinicians with data). Median for this group: 148. Middle half: 72 to 277.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Surgery in Mcallen, TX (2024, 25 clinicians with data). Median for this group: $8,140. Middle half: $4,549 to $13,526.
A higher Medicare-allowed amount than 60% of clinicians listed under Surgery in Texas (2024, 1,113 clinicians with data). Median for this group: $20,825. Middle half: $8,873 to $41,247.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Surgery in Mcallen, TX (2024, 25 clinicians with data). Median for this group: $6,433. Middle half: $3,493 to $10,537.
A higher Medicare payment amount than 60% of clinicians listed under Surgery in Texas (2024, 1,113 clinicians with data). Median for this group: $15,568. Middle half: $6,700 to $31,964.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Surgery in Mcallen, TX (2024, 21 clinicians with data). Median for this group: 118. Middle half: 40 to 277.
More Part D prescriptions than 95% of clinicians listed under Surgery in Texas (2024, 936 clinicians with data). Median for this group: 70. Middle half: 31 to 145.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Surgery in Mcallen, TX (2024, 21 clinicians with data). Median for this group: $1,216. Middle half: $247 to $13,366.
A higher Part D drug cost than 90% of clinicians listed under Surgery in Texas (2024, 936 clinicians with data). Median for this group: $502. Middle half: $180 to $1,728.
27 active clinicians are listed under Surgery with a practice address in Mcallen, TX (2,193 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Mcallen
0% of these 27 clinicians have the CMS telehealth indicator.
96.3% of these 27 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.
-
Medicare Part B services
Medicare Part B services increased 17% from 114 in 2019 to 133 in 2024.
- 2019: 114
- 2020: 13
- 2022: 128
- 2023: 243
- 2024: 133
-
Medicare-allowed amount
Medicare-allowed amount increased 10% from $27,847 in 2019 to $30,562 in 2024.
- 2019: $27,847
- 2020: $968
- 2022: $16,245
- 2023: $30,246
- 2024: $30,562
-
Paid by Medicare
Paid by Medicare varied from year to year: $21,959 in 2019 and $22,712 in 2024.
- 2019: $21,959
- 2020: $781
- 2022: $12,897
- 2023: $23,574
- 2024: $22,712
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 946% from 63 in 2020 to 659 in 2024.
- 2020: 63
- 2021: 33
- 2022: 129
- 2023: 363
- 2024: 659
-
30-day fills
30-day fills increased 717% from 123 in 2020 to 1,005 in 2024.
- 2020: 123
- 2021: 33
- 2022: 225
- 2023: 650
- 2024: 1,005
-
Part D drug cost
Part D drug cost increased 375% from $6,937 in 2020 to $32,956 in 2024.
- 2020: $6,937
- 2021: $110
- 2022: $7,520
- 2023: $28,923
- 2024: $32,956
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $199.00 in 2021 to $3,235.23 in 2025.
- 2021: $199.00
- 2022: $1,718.46
- 2023: $1,957.48
- 2024: $19,646.11
- 2025: $3,235.23
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 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
Program year 2025 (payments made January 1 โ December 31, 2025): 40 records totaling $3,235.23.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
Da Vinci Surgical System | General | $500.00 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
|
SpyGlass | General | $468.86 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
|
SpyGlass | General | $209.79 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
|
SpyGlass | General | $209.79 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $141.38 |
| BIOTISSUE HOLDINGS INC. |
Food and Beverage
In-kind items and services
|
โ | General | $138.94 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $128.13 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpyGlass | General | $102.37 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $94.67 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpyGlass | General | $94.43 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpyGlass | General | $93.83 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
|
SpyGlass | General | $86.82 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $85.47 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $52.74 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $51.33 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $47.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $46.79 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $43.90 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $41.25 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $40.99 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $39.50 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $39.26 |
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
|
SpyGlass | General | $37.32 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $34.69 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Phasix Mesh | General | $34.51 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
70 | 48 | $379.50 | $120.32 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
23 | 21 | $267.15 | $85.32 |
|
43235
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
|
17 | 17 | $892.86 | $59.99 |
|
43239
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
|
12 | 12 | $1149.81 | $118.13 |
|
43282
Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope
|
11 | 11 | $4959.00 | $1612.75 |
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 |
|---|---|---|---|---|---|
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 217 | 682 | $898.87 | 206 |
| Famotidine | Famotidine | 193 | 14,004 | $3,473.99 | 151 |
| Sucralfate | Sucralfate | 49 | 1,473 | $6,874.84 | 25 |
| Omeprazole | Omeprazole | 36 | 1,469 | $414.31 | 17 |
| Topiramate | Topiramate | 34 | 1,080 | $187.88 | 24 |
| Ursodiol | Ursodiol | 34 | 2,040 | $3,940.77 | 24 |
| Ondansetron Odt | Ondansetron | 24 | 374 | $480.49 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 17 | 810 | $155.60 | โ |
| Ondansetron Hcl | Ondansetron Hcl | 15 | 409 | $272.35 | โ |
| Ozempic | Semaglutide | 15 | 534 | $16,033.79 | โ |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 14 | 66 | $198.08 | 11 |
| Pregabalin | Pregabalin | 11 | 330 | $25.02 | โ |
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
Self-certified to NPPES: 2022-06-15NUCC Taxonomy Code: 208600000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20150807015466
TX
7719291459
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
Gastroenterology Consultants Of South Texas, Pllc
512 Victoria Ln, Harlingen, TX 785503227
Phone: 9563654400
Gastroenterology Consultants Of South Texas, Pllc
720 N 77 Sunshinestrip, Harlingen, TX 785508848
Phone: 9563654400
Secondary Practice Locations
512 Victoria Ln Ste 2
Harlingen, TX 785503227
Phone: 9563654400
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
APRNMSNFNPBC
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Internal Medicine - Gastroenterology
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 533 PECAN BLVD, MCALLEN, TX 785012356 (Tel: 9563654400)
NPI status registered as active in NPPES database
Registered at 5500 RAPHAEL DR, EDINBURG, TX 78539 (Tel: 9563625673)
Registered at PO BOX 5358, MCALLEN, TX 785025358 (Tel: 9563625673)
Recorded as MICHAEL MARTINEZ, M.D.
Surgery (license number reported to NPPES: TX P5679)
Registered at PO BOX 5358, MCALLEN, TX 785025358 (Tel: 9563622171)
NPI status registered as active in NPPES database
Registered at 5500 RAPHAEL DR, EDINBURG, TX 78539 (Tel: 9563625673)
Registered at 2624 YORK AVE, MCALLEN, TX 785042186 (Tel: 9564572808)
Recorded as MICHAEL MARTINEZ, M.D.
Surgery (license number reported to NPPES: TX P5679)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Mcallen
- Dr. Angel Tamez, MD
- Dr. Miguel Rodriguez, DO
- Dr. Cera Kroenke, DO
- Dr. Jesus Garcia, MD
- Dr. Ricardo Martinez, MD
- Dr. Hector Saucedo Crespo, MD
Mailing Address
Po Box 5358
Mcallen, TX 785025358
Phone: 9563625673