PHILIP L MARTIN M.D.
NPI 1124168042
Specialist in Raleigh, NC

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
2801 BLUE RIDGE RD, SUITE 200, RALEIGH, NC 27607(919) 571-0081(919) 787-3591 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Philip L Martin M.d. NPPES

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

PHILIP L MARTIN M.D. (NPI 1124168042) is an individual specialist in Raleigh, North Carolina, licensed in North Carolina (19021) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1973).

NPPES Registry Identity

NPI1124168042
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePHILIP L MARTINCredential: M.D.
Location Address2801 BLUE RIDGE RD, SUITE 200Raleigh, NC 27607-6474
Mailing Address2801 Blue Ridge Rd, Suite 200Raleigh, NC 27607-6474 · (919) 571-0081 · Fax (919) 787-3591
Fax(919) 787-3591
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1973
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJune 22, 2010
✔ NPI 1124168042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 19021
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2801 BLUE RIDGE RD, Raleigh, NC 27607

Other Identifiers 6

Medicare ID-Type Unspecified280531ANC · Provider #
Other180005116NC · Railroad Medicare
Other561420397NC · Tax Id#
Medicaid8954270NC
Medicare UPINC85337NC
Other54270NC · Bcbs Provider #

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

Philip L Martin 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 ID3173536638
PECOS Enrollment IDI20190503000684
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

4

Medicare enrollment records show Philip Martin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
Ophthalmology
3500 LATOUCHE ST, SUITE 250
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 6 clinicians in this Medicare group
Critical Access
7000 UULA STREET
Barrow, AK 99723
  • Reassigned Medicare billing, Alaska enrollment
  • 118 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 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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
316 services169 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
299 services166 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
84 services38 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
47 services47 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
40 services24 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
33 services23 patients

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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Other Providers at the Same Location NPPES 10

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

Allergy & Immunology
2801 BLUE RIDGE RD
RALEIGH, NC 27607
Nurse Practitioner (Pediatrics)
2801 BLUE RIDGE RD
RALEIGH, NC 27607
Specialist
2801 BLUE RIDGE RD, SUITE 200
RALEIGH, NC 27607
Social Worker (Clinical)
2801 BLUE RIDGE RD
RALEIGH, NC 27607
General Practice
2801 BLUE RIDGE RD, STE G50
RALEIGH, NC 27607
Dietitian, Registered (Nutrition, Pediatric)
2801 BLUE RIDGE RD
RALEIGH, NC 27607
Nurse Practitioner (Family)
2801 BLUE RIDGE RD
RALEIGH, NC 27607
Specialist
2801 BLUE RIDGE RD, STE 101
RALEIGH, NC 27607

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 Philip Martin's NPI number?

The NPI number for Philip Martin is 1124168042. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Philip Martin located?

Philip Martin practices at 2801 Blue Ridge Rd Suite 200, Raleigh, NC 27607. The listed phone number is (919) 571-0081.

What is Philip Martin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Philip Martin enrolled in Medicare?

Yes. Philip 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 Philip Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Martin reassigns Medicare benefits to 4 organizations: Cowlitz Indian Tribe (Vancouver, WA), Alaska Native Tribal Health Consortium (Anchorage, AK), Alaska Retinal Consultants (Anchorage, AK) and Arctic Slope Native Association Ltd (Barrow, AK). 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 Philip Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Martin accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Philip 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.

When was this NPI record last updated?

The NPPES record for Philip Martin was last updated on June 22, 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.