FREDERICK A MARTIN MD
NPI 1164417713
Family Medicine in Bristol, TN

Q: What is Frederick Martin's NPI number?

The NPI number for Frederick Martin is 1164417713. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Frederick Martin's specialty?

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

Q: Is Frederick Martin enrolled in Medicare?

No. Frederick Martin has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Frederick Martin was last updated on May 31, 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.

Active since September 20, 2005Opted out of Medicare · through Oct 1, 2026

1958 W STATE ST, BRISTOL, TN 37620(423) 574-7575(423) 574-7576 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Frederick A Martin Md NPPES

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

FREDERICK A MARTIN MD (NPI 1164417713) is an individual family medicine provider in Bristol, Tennessee, licensed in Tennessee (MD35685) and active in the NPI registry since September 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164417713

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameFREDERICK A MARTINCredential: MD

Location Address1958 W STATE STBristol, TN 37620-1940

Mailing Address1958 W State StBristol, TN 37620-1940 · (423) 574-7575 · Fax (423) 574-7576

Phone(423) 574-7575

Fax(423) 574-7576

Sole ProprietorYes

Enumeration DateSeptember 20, 2005

Last NPPES UpdateMay 31, 2016

✔ NPI 1164417713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · MD35685

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.

1958 W STATE ST, Bristol, TN 37620

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Other Identifiers 7

Medicaid3707101TN

Other179765VA · Anthem Provier #

Medicaid010178835VA

Medicare UPINE57235TN

Other62172092012TN · John Deere #

Other4107515TN · Bcbs Tn

Other4338099Aetna#

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Frederick A Martin Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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 Frederick Martin's NPI number?

The NPI number for Frederick Martin is 1164417713. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Frederick Martin located?

Frederick Martin practices at 1958 W State St, Bristol, TN 37620. The listed phone number is (423) 574-7575.

What is Frederick Martin's specialty?

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

Is Frederick Martin enrolled in Medicare?

No. Frederick Martin has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Frederick Martin was last updated on May 31, 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.