DR. BROOKS MARTIN MD
NPI 1205834306
Family Medicine in South Lake Tahoe, CA

Q: What is Brooks Martin's NPI number?

The NPI number for Brooks Martin is 1205834306. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Brooks Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brooks Martin was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 12, 2005PECOS Enrolled

1090 3RD ST, SOUTH LAKE TAHOE, CA 96150(530) 543-5660(530) 542-1619 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Brooks Martin Md NPPES

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

DR. BROOKS MARTIN MD (NPI 1205834306) is an individual family medicine provider in South Lake Tahoe, California, licensed in California (G42705) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205834306

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BROOKS MARTINCredential: MD

Location Address1090 3RD STSouth Lake Tahoe, CA 96150-3485

Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723

Phone(530) 543-5660

Fax(530) 542-1619

Sole ProprietorNo

Enumeration DateJuly 12, 2005

Last NPPES UpdateJuly 16, 2014

✔ NPI 1205834306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · G42705✔ Licensed in NV · 4413

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.

1090 3RD ST, South Lake Tahoe, CA 96150

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brooks Martin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Brooks Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barton Medical Foundation

0.2 mi

Family Medicine

2170 SOUTH AVE
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California enrollment
148 clinicians in this Medicare group

NPI 1750950499 (530) 541-3420

Tahoe Carson Valley Medical Group Inc

0.2 mi

Family Medicine

2170 SOUTH AVE
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California enrollment
100 clinicians in this Medicare group

NPI 1508865528 (530) 541-3420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier39 claims39 services$50.47 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 4

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

CHRISTINE JO CIFELLI NP

Nurse Practitioner

1090 3RD ST
SOUTH LAKE TAHOE, CA 96150

El Dorado County (530) 543-5660

BARTON HEALTHCARE SYSTEM

Clinic/Center (Primary Care)

1090 3RD ST, STE 1
SOUTH LAKE TAHOE, CA 96150

El Dorado County (530) 543-5660

KELLY VIAL FNP

Nurse Practitioner

1090 3RD ST
SOUTH LAKE TAHOE, CA 96150

El Dorado County (530) 543-5660

MS. BARBARA PIDERMANN FNP

Nurse Practitioner

1090 3RD ST
SOUTH LAKE TAHOE, CA 96150

El Dorado County (530) 543-5660

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 Brooks Martin's NPI number?

The NPI number for Brooks Martin is 1205834306. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Brooks Martin located?

Brooks Martin practices at 1090 3rd St, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5660.

What is Brooks Martin's specialty?

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

Is Brooks Martin enrolled in Medicare?

Yes. Brooks Martin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brooks Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooks Martin reassigns Medicare benefits to 2 organizations: Barton Medical Foundation (South Lake Tahoe, CA) and Tahoe Carson Valley Medical Group Inc (South Lake Tahoe, CA). 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 Brooks Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooks Martin accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Brooks Martin 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.

When was this NPI record last updated?

The NPPES record for Brooks Martin was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.