Carlos H. Martinez, MD
NPI 1265623458ActiveIndividual· Internal Medicine, Pulmonary Disease· Marshall, MI
Internal Medicine, Pulmonary Disease (MD) with Ella E M Brown Charitable Circle and 1 other group, practicing in Marshall, Michigan. Their prescriptions cost Medicare Part D more than their services did: $1,015,015 for 1,481 claims, against $31,763 paid for services in 2024. Insmed, Inc. reported $17.38 in payments in 2025, mostly education. Lists Borgess Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1265623458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 5, 2007 |
| Last updated in NPPES | Dec 16, 2019 |
| Certified by provider | Dec 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 4301095260 | MI |
| Internal Medicine | 207R00000X | 4301095260 | MI |
| Preventive Medicine, Occupational Medicine | 2083X0100X | BP1-0023228 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 770 across 23 procedure codes |
| Paid by Medicare | $31,763 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,481 · 1,800 30-day fills |
|---|---|
| Patients | 250 |
| Total drug cost | $1,015,015 |
| Generic share | 33% of claims |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists), Internal Medicine |
Medical groups
- Ella E M Brown Charitable CircleFort Wayne, IN · 170 clinicians
- Hillsdale Community Health CenterHillsdale, MI · 68 clinicians
Hospital affiliations
- Borgess Medical CenterKalamazoo, MI
- Bronson Battle Creek HospitalBattle Creek, MI
- Hillsdale HospitalHillsdale, MI
- Oaklawn HospitalMarshall, MI
Industry payments (Open Payments)
- 2025$17.38 · 1 payment from 1 company
- 2024$159.89 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Insmed, Inc. | $17.38 | 1 |
What the 2025 payments were for
- Education$17.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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