DR. DONALD JOSEPH MARTIN MD
NPI 1205923109
Internal Medicine - Gastroenterology in Overland Park, KS

Q: What is Donald Martin's NPI number?

The NPI number for Donald Martin is 1205923109. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Donald Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Donald Martin was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 10, 2006PECOS EnrolledAccepts Medicare Assignment

77.42/100

CMS Quality Rating

10116 W 105TH ST, OVERLAND PARK, KS 66212(913) 541-0510(913) 541-1852 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Aug 18, 2022 (2 updates tracked since 2022).

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About Dr. Donald Joseph Martin Md NPPES

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

DR. DONALD JOSEPH MARTIN MD (NPI 1205923109) is an individual gastroenterology provider in Overland Park, Kansas, licensed in Kansas (04-38458) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Creighton University School Of Medicine (2006).

NPPES Registry Identity

NPI1205923109

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. DONALD JOSEPH MARTINCredential: MD

Location Address10116 W 105TH STOverland Park, KS 66212-5746

Mailing Address10116 W 105th StOverland Park, KS 66212-5746 · (913) 541-0510 · Fax (913) 541-1852

Phone(913) 541-0510

Fax(913) 541-1852

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2006

Enumeration DateOctober 10, 2006

Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2022

✔ NPI 1205923109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in KS · 04-38458✔ Licensed in MO · 2008009086

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

10116 W 105TH ST, Overland Park, KS 66212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, WellPoint.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. Donald Joseph Martin Md 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 ID7113229881

PECOS Enrollment IDI20160519001709

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.

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

134 services133 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

117 services117 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.

85 services81 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

77 services77 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

66 services66 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

66 services36 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

42 services42 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

42 services42 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

22 services22 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170104

Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County

Emergency services Birthing friendly

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number170176

Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Kansas City, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260085

Location1000 Carondelet DrKansas City, MO 64114 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66212 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

77.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

74.68

Promoting Interoperability

Improvement Activities

Cost

73.4

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%64 patients

Colorectal Cancer Screening

95%357 patients5/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

99%540 patients4/55-star benchmark: 100%

e-Prescribing

100%660 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

78%188 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

99%513 patients5/55-star benchmark: 98%

Provide Patients Electronic Access to Their Health Information

65%401 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 195 patients

Patients totalRate: 5% · 195 patients

4%195 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.

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Other Providers at the Same Location NPPES 14

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

DR. MATTHEW P HARRISON MD

Internal Medicine (Gastroenterology)