MARTIN MCDERMOTT MD PC
NPI 1205928264
Family Medicine in Fort Lupton, CO
About Martin Mcdermott Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN MCDERMOTT MD PC (NPI 1205928264) is a healthcare organization registered as a family medicine in Fort Lupton, Colorado and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Martin Daniel Mcdermott, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Martin Mcdermott Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Martin Mcdermott MD PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D0516535
Martin Mcdermott MD PC · Fort Lupton, COFrequently 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 Martin Mcdermott MD PC's NPI number?
The NPI number for Martin Mcdermott MD PC is 1205928264. It was assigned to this organization in the NPPES registry on September 28, 2006.
Where is Martin Mcdermott MD PC located?
Martin Mcdermott MD PC is located at 327 Park Ave, Fort Lupton, CO 80621. The listed phone number is (303) 857-2711.
What is Martin Mcdermott MD PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Martin Mcdermott MD PC enrolled in Medicare?
Yes. Martin Mcdermott MD PC is registered in the Medicare PECOS enrollment system.
When is Martin Mcdermott MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Martin Mcdermott MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Martin Mcdermott MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Martin Mcdermott MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D0516535) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Martin Mcdermott MD PC was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Martin Mcdermott Md Pc · NPI 1205928264
Family Medicine organization in Fort Lupton, Colorado. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1205928264 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Martin Mcdermott, OWNER
## Practice location
- **Address:** 327 PARK AVE, Fort Lupton, CO 80621-1929
- **Phone:** (303) 857-2711 · **Fax:** (303) 857-1408
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2008
- **Other identifiers:** Medicaid 76628205 (CO); Medicare NSC 0979420001 (CO); Medicare PIN C422008 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205928264) · Data from the CMS NPPES public registry.