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

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: October 18, 2026.

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

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 Ascension St Mary's Hospital, 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, Priority Health.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. 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.

Medicare Billing Reassignments

4

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

Mymichigan Medical Center Midland
0.3 mi
Multi-Specialty
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 536 clinicians in this Medicare group
NPI 1205889490 (844) 832-1956
Mymichigan Medical Center West Branch
44 mi
Family Medicine
2463 S M 30
West Branch, MI 48661
  • Reassigned Medicare billing, Michigan enrollment
  • 179 clinicians in this Medicare group
NPI 1518418292 (989) 345-3660
Mymichigan Medical Center Alpena
107 mi
Obstetrics & Gynecology
346 LONG RAPIDS PLZ
Alpena, MI 49707
  • Reassigned Medicare billing, Michigan enrollment
  • 219 clinicians in this Medicare group
NPI 1427282011 (989) 356-6353
Cancer Care Associates Inc
638 mi
Radiation Oncology
225 E JACKSON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 30 clinicians in this Medicare group
NPI 1184968661 (870) 972-4510

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 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
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.
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
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.
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.

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

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 8

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

HEATHER LYNN FENNELL MD
Surgery
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 837-9071
SHARON AGNES LEVANDOWSKI MD
Internal Medicine (Hematology & Oncology)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-6188
PAIGE HINGSTON PA
Physician Assistant
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-3060
KRISTIN M BUSCH MD
Colon & Rectal Surgery
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-1795
JENNIFER MARIE WOODS FNP
Nurse Practitioner
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-3000
DR. JESSICA LOUISE JONES DO
Dermatology
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 488-5010
AN UCHE M.D
Internal Medicine (Hematology & Oncology)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-6188
MEGHAN DAHL
Social Worker (Clinical)
4201 CAMPUS RIDGE DR
MIDLAND, MI 48640
Midland County (989) 839-3385

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 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.

Where is Santiago Moscoso Martinez located?

Santiago Moscoso Martinez practices at 4201 Campus Ridge Dr, Midland, MI 48640. The listed phone number is (989) 839-6188.

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.

Is Santiago Moscoso Martinez enrolled in Medicare?

Yes. Santiago Moscoso Martinez 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 Santiago Moscoso Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santiago Moscoso Martinez reassigns Medicare benefits to 4 organizations: Mymichigan Medical Center Midland (Midland, MI), Mymichigan Medical Center West Branch (West Branch, MI), Mymichigan Medical Center Alpena (Alpena, MI) and Cancer Care Associates Inc (Jonesboro, AR). 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 Santiago Moscoso Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Santiago Moscoso Martinez accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Santiago Moscoso Martinez 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 Santiago Moscoso Martinez affiliated with any hospitals?

According to CMS data, Santiago Moscoso Martinez is affiliated with Ascension St Mary's Hospital, Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Santiago Moscoso Martinez was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.