MARTIN JOHN WALSH M.D.
NPI 1093711913
Urology in Middletown, OH
About Martin John Walsh M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN JOHN WALSH M.D. (NPI 1093711913) is an individual urology provider in Middletown, Ohio, licensed in Ohio (35072487) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Toledo College Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Martin John Walsh 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.
Medicare Billing Reassignment
Medicare enrollment records show Martin Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, OH 45005
- Reassigned Medicare billing, Ohio enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 31
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHAtrium Medical Center
Acute Care Hospitals · Franklin, OHBethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Walsh's NPI number?
The NPI number for Martin Walsh is 1093711913. It was assigned to this individual provider in the NPPES registry on June 24, 2005.
Where is Martin Walsh located?
Martin Walsh practices at 200 Medical Center Dr Ste 500, Middletown, OH 45005. The listed phone number is (513) 841-7777.
What is Martin Walsh's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Martin Walsh enrolled in Medicare?
Yes. Martin Walsh 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.
Which organization bills Medicare for Martin Walsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Walsh reassigns Medicare benefits to Tri State Urologic Services Psc Inc (Middletown, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Walsh accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Martin Walsh 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 Walsh affiliated with any hospitals?
According to CMS data, Martin Walsh is affiliated with Miami Valley Hospital, Atrium Medical Center and Bethesda North.
When was this NPI record last updated?
The NPPES record for Martin Walsh was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.