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MARTIN J VINCA MD
NPI 1053417980
Surgery in Phoenixville, PA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
94.74/100
CMS Quality Rating
824 MAIN STREET, SUITE 300, PHOENIXVILLE, PA 19460(610) 935-7772(610) 935-7207 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin J Vinca Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN J VINCA MD (NPI 1053417980) is an individual surgery provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MD424165) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1994).

NPPES Registry Identity

NPI1053417980
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARTIN J VINCACredential: MD
Location Address824 MAIN STREET, SUITE 300Phoenixville, PA 19460
Mailing Address824 Main Street, Suite 300Phoenixville, PA 19460 · (610) 935-7772 · Fax (610) 935-7207
Phone(610) 935-7772
Fax(610) 935-7207
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1994
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJanuary 14, 2010
✔ NPI 1053417980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD424165
Definition
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.
824 MAIN STREET, Phoenixville, PA 19460
Open in Google Maps ↗

Other Identifiers 3

Medicaid101043808PA
Medicare UPINI10175
Medicare ID-Type Unspecified08080ZKDH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin J Vinca Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123099066
PECOS Enrollment IDI20040804000158
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
26 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Promoting Interoperability98
Improvement Activities40
Cost85.55

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
12%93 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
16%293 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,131 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%474 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%677 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%179 patients1/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 81 patients
88%81 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%677 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%677 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
10%677 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEILA C DUMAGSA MCGOWAN MD
Family Medicine
824 MAIN STREET, SUITE 100
PHOENIXVILLE, PA 19460
Chester County (610) 935-7300
KASSANDRA RAJHA PA-C
Physician Assistant
824 MAIN STREET
PHOENIXVILLE, PA 19460
Chester County (610) 703-9987
DR. SUMITRA KONDA MD
Hospitalist
824 MAIN STREET, SUITE 100
PHOENIXVILLE, PA 19460
Chester County (610) 935-7300
PMA MEDICAL SPECIALISTS PULMONARY
Internal Medicine (Pulmonary Disease)
824 MAIN STREET, SUITE 100
PHOENIXVILLE, PA 19460
Chester County (610) 933-8484
PMA MEDICAL SPECIALISTS GASTROENTEROLOGY
Internal Medicine (Gastroenterology)
824 MAIN STREET
PHOENIXVILLE, PA 19460
Chester County (610) 933-8484
PMA MEDICAL SPECIALISTS CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
824 MAIN STREET, SUITE 100
PHOENXIVILLE, PA 19460
Chester County (610) 933-8484
WASFY FAHIM FAHMY M.D.
Surgery
824 MAIN STREET, SUITE 300
PHOENIXVILLE, PA 19460
Chester County (610) 935-7772
DEBORAH MARIE ROSA M.D.
Surgery
824 MAIN STREET, SUITE 300
PHOENIXVILLE, PA 19460
Chester County (610) 935-7772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Vinca's NPI number?

The NPI number for Martin Vinca is 1053417980. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Martin Vinca located?

Martin Vinca practices at 824 Main Street Suite 300, Phoenixville, PA 19460. The listed phone number is (610) 935-7772.

What is Martin Vinca's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Martin Vinca enrolled in Medicare?

Yes. Martin Vinca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Martin Vinca accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Martin Vinca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Martin Vinca affiliated with any hospitals?

According to CMS data, Martin Vinca is affiliated with Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Martin Vinca was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.