Raul Martin
FAWCETT MEDICAL IMAGING PA


Address: 21298 Olean Blvd, Pt Charlotte, FL 33952-6705
Phone: 9416291181

Raul Martin (NPI# 1770588394, PAC ID# 8426033663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1770588394
PAC ID by PECOS 8426033663
Professional Enrollment ID I20110816000525
Full Name Raul Martin
Organization Legal Name FAWCETT MEDICAL IMAGING PA
Address 21298 Olean Blvd
Pt Charlotte
FL 33952-6705
Phone Number 9416291181
Gender M
Credential MD
Graduation Year 1993
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 8820058415
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100236 FAWCETT MEMORIAL HOSPITAL
100267 ENGLEWOOD COMMUNITY HOSPITAL
100087 SARASOTA MEMORIAL HOSPITAL
100047 BAYFRONT HEALTH PUNTA GORDA

Other Locations

Address Phone Organization
21298 Olean Blvd, Pt Charlotte, FL 33952-6705 9416291181 FAWCETT MEDICAL IMAGING PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 95%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 95%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 95%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 98%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 98%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 98%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%

Organization Information

Organization Legal Name FAWCETT MEDICAL IMAGING PA
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Bruce Bielfelt Diagnostic Radiology Fawcett Medical Imaging Pa 21298 Olean Blvd, Pt Charlotte, FL 33952-6705

Office Location

Street Address 21298 OLEAN BLVD
City PT CHARLOTTE
State FL
Zip 33952-6705

Physicians in the same location

Name Specialty Organization Address
Samantha Jean Family Medicine Sunapee Inpatient Services LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Pamela Jean Ozaluk Certified Registered Nurse Anesthetist (crna) Gulf-to-bay Anesthesiology Associates LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Martin Johann Pontasch Emergency Medicine Split Mountain Emergency Physicians LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Kouji J Bowser Certified Registered Nurse Anesthetist (crna) Gulf-to-bay Anesthesiology Associates LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Reuben Castro Alimbuyao Certified Registered Nurse Anesthetist (crna) Gulf-to-bay Anesthesiology Associates LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Robert Fisher Certified Registered Nurse Anesthetist (crna) Gulf-to-bay Anesthesiology Associates LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Steven B Goldin Surgical Oncology West Florida Physician Network, LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Robert H Causey Certified Registered Nurse Anesthetist (crna) Gulf-to-bay Anesthesiology Associates LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Scott I Watamura Anesthesiology Gulf-to-bay Anesthesiology Associates LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
Rebecca A Miknaitis Emergency Medicine Split Mountain Emergency Physicians LLC 21298 Olean Blvd, Port Charlotte, FL 33952-6705
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Physicians in the same zip code

Name Specialty Organization Address
Robert A Barrett Clinical Social Worker Manuel Gallego Md Pa 3460 Depew Circle, Port Charlotte, FL 33952
Manuel F Gallego Psychiatry Manuel Gallego Md Pa 3460 Depew Circle, Port Charlotte, FL 33952
Mason S Maulsby Nurse Practitioner Manuel Gallego Md Pa 3460 Depew Circle, Port Charlotte, FL 33952
Kimberly M Huggard Nurse Practitioner Millennium Physician Group LLC 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922
Rita F De Palma Nurse Practitioner Millennium Physician Group LLC 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922
David M Reilly Family Medicine Millennium Physician Group LLC 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922
Ewa A Bialikiewicz Family Medicine Millennium Physician Group LLC 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922
Gary B Jacobs Family Medicine Millennium Physician Group LLC 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922
Douglas G Henricks Internal Medicine Millennium Physician Group LLC 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922
Joseph Piccolo Family Medicine Millennium Physician Group LLC 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922
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Competitor

Search similar physicians

City PT CHARLOTTE
Zip Code 33952
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty PT CHARLOTTE + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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