NPIMap

Individual provider Active NPI

Ferdinand C Martinez, M.D.

  • Surgery Physician
  • Morgantown, WV
National Provider Identifier
1194911107
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26059 Issued in WV
Practice address
3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505-1170
Phone
(304) 285-1460
Fax
(304) 285-2739
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD0431880 PA
Surgery Physician 208600000X 26059 WV Primary

Addresses

Primary practice location

3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505-1170

Mailing address

3000 Mon Health Medical Park Dr Ste 3201
Morgantown, WV 26505-1170
Phone (304) 285-1460

Other practice location 1

600 Suncrest Town Centre Dr
Morgantown, WV 26505-1872
Phone (304) 598-2200

Other identifiers 2

IdentifierTypeStateIssuer
26059OtherWVWV BOARD OF MEDICINE
MD431880OtherPAMD431880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108002488 WV Practitioner - General Surgery 3678658382 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Memorial Hospital CorporationGroup PAC ID 5294645107, shared by 3 NPIs, 46 clinicians
Stonewall Jackson Memorial Hospital CompanyGroup PAC ID 4284530551, 64 clinicians

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal16
Removal of tissue115
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0431880PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stonewall Jackson Memorial Hospital Company CurrentSince Nov 9, 2019 Accepting new patients
Preston Memorial Hospital Corporation Surgery CurrentSince Oct 9, 2020 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Nov 9, 2019 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince Oct 9, 2020 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients
Family Medical Clinic of Jane Lew Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: fmartinez@direct-address.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1194911107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3201",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051170",
            "telephone_number": "304-285-1460",
            "fax_number": "304-285-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3201",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051170",
            "telephone_number": "304-285-1460",
            "fax_number": "304-285-2739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Suncrest Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051872",
            "country_code": "US",
            "telephone_number": "304-598-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "FERDINAND",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD0431880",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "26059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF MEDICINE",
            "identifier": "26059",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD431880",
            "identifier": "MD431880",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.