DR. SANTIAGO FABIAN MOSCOSO MARTINEZ M.D.
NPI 1154619021
Internal Medicine - Hematology & Oncology in Midland, MI

Q: What is Santiago Moscoso Martinez's NPI number?

The NPI number for Santiago Moscoso Martinez is 1154619021. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Q: What is Santiago Moscoso Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since July 13, 2011PECOS EnrolledAccepts Medicare Assignment

4201 CAMPUS RIDGE DR, MIDLAND, MI 48640(989) 839-6188(989) 839-6221 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2024, Nov 9, 2018 (2 updates tracked since 2018).

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About Dr. Santiago Fabian Moscoso Martinez M.d. NPPES

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

DR. SANTIAGO FABIAN MOSCOSO MARTINEZ M.D. (NPI 1154619021) is an individual hematology & oncology provider in Midland, Michigan, licensed in Michigan (4301510406) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154619021

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. SANTIAGO FABIAN MOSCOSO MARTINEZCredential: M.D.

Location Address4201 CAMPUS RIDGE DRMidland, MI 48640-6128

Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241

Phone(989) 839-6188

Fax(989) 839-6221

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 13, 2011

Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1154619021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in MI · 4301510406✔ Licensed in IA · 44063✔ Licensed in NE · 30205

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4201 CAMPUS RIDGE DR, Midland, MI 48640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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. Santiago Fabian Moscoso Martinez 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 ID6406127810

PECOS Enrollment IDI20240129000497

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 7

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.

202 services116 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.

83 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

71 services60 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.

56 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

27 services25 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number230036

Location1501 W Chisholm StAlpena, MI 49707 · Alpena County

Emergency services Birthing friendly

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230095

Location2463 South M-30West Branch, MI 48661 · Ogemaw County

Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230180

Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230222

Location4000 Wellness DriveMidland, MI 48670 · Midland County

Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231325

Location515 Quarter StreetGladwin, MI 48624 · Gladwin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 6

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

HEATHER LYNN FENNELL MD

Surgery