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W RANDY MARTIN M.D.
NPI 1174566566
Internal Medicine - Pulmonary Disease in Roseville, CA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
99.97/100
CMS Quality Rating
5 MEDICAL PLAZA DR, SUITE 190, ROSEVILLE, CA 95661(916) 786-7498(916) 786-2715 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About W Randy Martin M.d. NPPES

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

W RANDY MARTIN M.D. (NPI 1174566566) is an individual pulmonary disease provider in Roseville, California, licensed in California (G55146) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1984).

NPPES Registry Identity

NPI1174566566
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameW RANDY MARTINCredential: M.D.
Location Address5 MEDICAL PLAZA DR, SUITE 190Roseville, CA 95661-2865
Mailing Address3637 Mission Ave, Suite 7Carmichael, CA 95608-2946 · (916) 786-7498 · Fax (916) 786-2715
Phone(916) 786-7498
Fax(916) 786-2715
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1984
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 28, 2013
✔ NPI 1174566566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · G55146
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License G55146 (CA)
5 MEDICAL PLAZA DR, Roseville, CA 95661
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Other Names 1

Other Name (5)Walter Randolph Martin M.d.

Other Identifiers 3

Medicare PIN00G551461CA
Medicare UPINA52879CA
Medicaid00G551460CA

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

W Randy 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 ID9032293089
PECOS Enrollment IDI20080429000691
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 12

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
251 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.
229 services125 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.
198 services42 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
74 services15 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.
63 services53 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.
50 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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.

99.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability100
Improvement Activities40
Cost75.07

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
61%114 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
46%254 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
42%65 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%106 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
55%1,669 patients2/55-star benchmark: 100%
e-Prescribing
96%339 patients3/55-star benchmark: 100%
HIV Screening
23%241 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
67%549 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%995 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 77% · 408 patients
Patients screened: 78% · 408 patients
89%35 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%208 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 327 patients
Patients totalRate: 2% · 328 patients
1%328 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims550 services$0.09 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims390 services$7.10 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier23 claims274 services$9.38 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims1,872 services$0.38 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims72 services$1.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers16 claims16 services$3.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARSHA J MONTBRIAND NURSE PRACTITIONER
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
CATHERINE E TAYLOR NURSE PRACTITIONER
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
ANTOINETTE T KHOWONG MEDICAL DOCTOR
Obstetrics & Gynecology (Obstetrics)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
VITREO-RETINAL MEDICAL GROUP, INC
Ophthalmology
5 MEDICAL PLAZA DR, SUITE 180
ROSEVILLE, CA 95661
Placer County (916) 454-4861
BRENT EDWARD VANHOOZEN M.D.
Internal Medicine (Pulmonary Disease)
5 MEDICAL PLAZA DR, SUITE 190
ROSEVILLE, CA 95661
Placer County (916) 786-7498
RHONDA LYNN LEE FNP
Nurse Practitioner (Family)
5 MEDICAL PLAZA DR, #210
ROSEVILLE, CA 95661
Placer County (916) 780-5477
LORNA ADOLFO, A PROFESSIONAL MEDICAL CORPORATION
Internal Medicine
5 MEDICAL PLAZA DR, STE# 110
ROSEVILLE, CA 95661
Placer County (916) 784-8070
DR. MARK DRAKE D.P.M.
Podiatrist (Foot & Ankle Surgery)
5 MEDICAL PLAZA DR, 110
ROSEVILLE, CA 95661
Placer County (916) 782-3444

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 W Martin's NPI number?

The NPI number for W Martin is 1174566566. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Walter Randolph Martin M.D..

Where is W Martin located?

W Martin practices at 5 Medical Plaza Dr Suite 190, Roseville, CA 95661. The listed phone number is (916) 786-7498.

What is W Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is W Martin enrolled in Medicare?

Yes. W 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.

When was this NPI record last updated?

The NPPES record for W Martin was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.