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DR. MARTIN A TUMA MD
NPI 1154331858
Surgery - Vascular Surgery in Southfield, MI

Active since August 08, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 23D2195387 · Waiver
23077 GREENFIELD RD, SUITE 110, SOUTHFIELD, MI 48075(947) 282-6304(248) 796-8182 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Martin A Tuma Md NPPES

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

DR. MARTIN A TUMA MD (NPI 1154331858) is an individual vascular surgery provider in Southfield, Michigan, licensed in Michigan (041055) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 7, 2026, and is affiliated with Sinai-grace Hospital.

NPPES Registry Identity

NPI1154331858
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. MARTIN A TUMACredential: MD
Location Address23077 GREENFIELD RD, SUITE 110Southfield, MI 48075-3709
Mailing Address23077 Greenfield Rd, Suite 110Southfield, MI 48075-3709 · (947) 282-6304 · Fax (248) 796-8182
Phone(947) 282-6304
Fax(248) 796-8182
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1978
Enumeration DateAugust 8, 2006
Last NPPES UpdateMay 24, 2016
✔ NPI 1154331858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 041055
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 041055 (MI)
23077 GREENFIELD RD, Southfield, MI 48075
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND83165
Medicare ID-Type Unspecified0630705

Accepted Insurance

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

Dr. Martin A Tuma 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 ID2466591763
PECOS Enrollment IDI20091130000107
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2195387

Martin A Tuma, MD, Vascular Surgery, PLLC · Southfield, MI
Active · expires Oct 7, 2026
CLIA Number23D2195387
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorMartin A. Tuma
Laboratory Phone(947) 282-6304
Laboratory LocationMartin A Tuma, MD, Vascular Surgery, PLLC23077 Greenfield Suite 110, Southfield, MI 48075
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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 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.
92 services72 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.
69 services53 patients
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.
39 services33 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
36 services32 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
34 services32 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
75%137 patients4/55-star benchmark: 99%
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.
100%1,173 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%27 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%1,957 patients1/55-star benchmark: 88%
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.
61%618 patients1/55-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.
99%640 patients5/55-star benchmark: 97%
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…
37%640 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 398 patients
0%398 patients5/55-star benchmark: 100%
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.
1%640 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 20

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

MR. GASPER NOVARA LMSW
Social Worker (Clinical)
23077 GREENFIELD RD, #430
SOUTHFIELD, MI 48075
Oakland County (248) 552-0066
RENAISSANCE ENDODONTICS, PLLC
Dentist (Endodontics)
23077 GREENFIELD RD, SUITE 285
SOUTHFIELD, MI 48075
Oakland County (248) 395-9800
HORSLEY FOOT AND ANKLE SURGEONS PLLC
Podiatrist (Foot & Ankle Surgery)
23077 GREENFIELD RD, STE 255
SOUTHFIELD, MI 48075
Oakland County (248) 599-5200
ROBINSON CHIROPRACTIC & PERSONAL FITNESS CENTER PC
Chiropractor
23077 GREENFIELD RD, SUITE 260
SOUTHFIELD, MI 48075
Oakland County (248) 443-5545
SAILAJA PEDDIREDDY MD
Internal Medicine
23077 GREENFIELD RD, SUITE 240
SOUTHFIELD, MI 48075
Oakland County (248) 809-6402
UNIVERSITY ALLERGY & ASTHMA CENTER PLLC
Allergy & Immunology
23077 GREENFIELD RD, SUITE 479
SOUTHFIELD, MI 48075
Oakland County (313) 891-1500
GREENFIELD MEDICAL ORTHOPEDIC PLLC
Clinic/Center (Primary Care)
23077 GREENFIELD RD, SUITE 159
SOUTHFIELD, MI 48075
Oakland County (248) 351-1111
DR. ANTHONY DWAYNE WILLIAMS M.D.
Internal Medicine (Gastroenterology)
23077 GREENFIELD RD, STE 231
SOUTHFIELD, MI 48075
Oakland County (248) 569-2160

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 Tuma's NPI number?

The NPI number for Martin Tuma is 1154331858. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Martin Tuma located?

Martin Tuma practices at 23077 Greenfield Rd Suite 110, Southfield, MI 48075. The listed phone number is (947) 282-6304.

What is Martin Tuma's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Martin Tuma enrolled in Medicare?

Yes. Martin Tuma 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.

Does Martin Tuma hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2195387) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Martin Tuma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Martin Tuma 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 Tuma affiliated with any hospitals?

According to CMS data, Martin Tuma is affiliated with Sinai-Grace Hospital, Harper University Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Martin Tuma was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.