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DR. ERIC LEE MARTIN D.O.
NPI 1104276310
Family Medicine in Saint Charles, MO

Active since June 18, 2016PECOS EnrolledAccepts Medicare Assignment
1820 ZUMBEHL RD STE 130A, SAINT CHARLES, MO 63303(636) 947-2334 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2023, Dec 18, 2020, Jun 18, 2016 (3 updates tracked since 2016).

About Dr. Eric Lee Martin D.o. NPPES

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

DR. ERIC LEE MARTIN D.O. (NPI 1104276310) is an individual family medicine provider in Saint Charles, Missouri, licensed in Missouri (2019009304) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Cape Girardeau.

NPPES Registry Identity

NPI1104276310
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIC LEE MARTINCredential: D.O.
Location Address1820 ZUMBEHL RD STE 130ASaint Charles, MO 63303-2761
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (636) 947-2334 · Fax (636) 940-5739
Phone(636) 947-2334
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 18, 2016
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1104276310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2019009304
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1820 ZUMBEHL RD STE 130A, Saint Charles, MO 63303
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Secondary Practice Location 1

Location 1817 S Mount Auburn Rd Ste 200Cape Girardeau, MO 63703-6383 · Phone (573) 519-4500 ext. 2828 · Fax (573) 519-4530

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Eric Lee Martin D.o. 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 ID4183910961
PECOS Enrollment IDI20190820003572
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Eric Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic East Communities
8.9 mi
Family Medicine
615 S NEW BALLAS RD, ADMINISTRATION BUILDING, 5TH FLOOR
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 744 clinicians in this Medicare group
NPI 1043574940 (314) 251-6000
Southeast Missouri Hospital Physicians, LLC
115 mi
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
NPI 1558311522 (573) 331-6880
Cape Girardeau Behavioral Health LLC
115 mi
Psychiatric Hospital
639 S SILVER SPRINGS RD
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 19 clinicians in this Medicare group
NPI 1700485281 (573) 708-5000

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 6

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.
122 services73 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.
43 services43 patients
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.
28 services28 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.
26 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63303 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims35 services$37.00 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims84 services$2.52 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$15.42 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers26 claims26 services$35.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$83.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.89 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 2

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

ANN LINDLEY LOTTES M.D.
Family Medicine
1820 ZUMBEHL RD STE 130A
SAINT CHARLES, MO 63303
St. Charles County (636) 947-2334
KAYLA KAWA
Nurse Practitioner (Family)
1820 ZUMBEHL RD STE 130A
SAINT CHARLES, MO 63303
St. Charles County (636) 947-2334

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 Eric Martin's NPI number?

The NPI number for Eric Martin is 1104276310. It was assigned to this individual provider in the NPPES registry on June 18, 2016.

Where is Eric Martin located?

Eric Martin practices at 1820 Zumbehl Rd Ste 130A, Saint Charles, MO 63303. The listed phone number is (636) 947-2334.

What is Eric Martin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Martin enrolled in Medicare?

Yes. Eric Martin 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 organizations bill Medicare for Eric Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Martin reassigns Medicare benefits to 3 organizations: Mercy Clinic East Communities (Saint Louis, MO), Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO) and Cape Girardeau Behavioral Health LLC (Cape Girardeau, MO). Each 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 Eric Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Martin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Eric Martin 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 Eric Martin affiliated with any hospitals?

According to CMS data, Eric Martin is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Eric Martin was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.