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MARTIN L GELMAN M.D.
NPI 1093705725
Internal Medicine - Nephrology in Milford, MA

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
211 WEST STREET, MILFORD, MA 01757(617) 782-4544(617) 787-9135 Get Directions Write a Review

NPPES record last updated: December 26, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Martin L Gelman M.d. NPPES

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

MARTIN L GELMAN M.D. (NPI 1093705725) is an individual nephrology provider in Milford, Massachusetts, licensed in Massachusetts (35058) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and is a graduate of Indiana University School Of Medicine (1968).

NPPES Registry Identity

NPI1093705725
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARTIN L GELMANCredential: M.D.
Location Address211 WEST STREETMilford, MA 01757
Mailing Address211 West StreetMilford, MA 01757 · (617) 782-4544 · Fax (617) 787-9135
Phone(617) 782-4544
Fax(617) 787-9135
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1968
Enumeration DateOctober 25, 2005
Last NPPES UpdateDecember 26, 2014
✔ NPI 1093705725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MA · 35058
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

211 WEST STREET, Milford, MA 01757
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Other Identifiers 3

Medicaid0111511MA
Medicare PINM09035MA
Medicare UPINA 66821MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 L Gelman M.d. 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 ID4587614326
PECOS Enrollment IDI20050516000776
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
678 services206 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
353 services143 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services70 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
32 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01757 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
72%29 patients3/55-star benchmark: 100%
Breast Cancer Screening
39%243 patients2/55-star benchmark: 93%
Cervical Cancer Screening
23%221 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
11%312 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
55%640 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
69%470 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
1%207 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%207 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%4,375 patients4/55-star benchmark: 100%
HIV Screening
12%648 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,004 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%1,260 patients3/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 457 patients
Patients totalRate: 21% · 499 patients
21%499 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers69 claims165 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims27 services$0.94 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
3 suppliers20 claims510 services$4.76 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$1.67 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers39 claims46 services$13.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims32 services$3.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GREATER BOSTON MEDICAL ASSOCIATES, INC.
Specialist
211 WEST STREET
MILFORD, MA 01757
Worcester County (617) 782-4544

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 Gelman's NPI number?

The NPI number for Martin Gelman is 1093705725. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Martin Gelman located?

Martin Gelman practices at 211 West Street, Milford, MA 01757. The listed phone number is (617) 782-4544.

What is Martin Gelman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Martin Gelman enrolled in Medicare?

Yes. Martin Gelman 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 Gelman accept?

Health plans from Anthem Blue Cross and Blue Shield list Martin Gelman 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 Gelman affiliated with any hospitals?

According to CMS data, Martin Gelman is affiliated with Milford Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Martin Gelman was last updated on December 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.