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ROBERT CRAIG MARTIN M.D.
NPI 1225020399
Internal Medicine in Georgetown, KY

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1138 LEXINGTON RD, SUITE 290, GEORGETOWN, KY 40324(502) 863-0721(502) 863-6104 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Craig Martin M.d. NPPES

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

ROBERT CRAIG MARTIN M.D. (NPI 1225020399) is an individual internal medicine provider in Georgetown, Kentucky, licensed in Kentucky (29629) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of West Virginia University School Of Medicine (1990).

NPPES Registry Identity

NPI1225020399
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT CRAIG MARTINCredential: M.D.
Location Address1138 LEXINGTON RD, SUITE 290Georgetown, KY 40324-9672
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (829) 258-6200 · Fax (859) 258-6203
Phone(502) 863-0721
Fax(502) 863-6104
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1990
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1225020399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 29629
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1138 LEXINGTON RD, Georgetown, KY 40324
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Other Names 1

Professional Name (2)R. Craig Martin M.d.

Other Identifiers 1

Medicaid64296296KY

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

Robert Craig 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 ID9830223593
PECOS Enrollment IDI20100817000507
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 10

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.

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.
455 services194 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.
246 services124 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
158 services158 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
82 services82 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
72 services28 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
49 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%2,064 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
56%468 patients3/55-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 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers46 claims84 services$5.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims16 services$0.99 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$86.36 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$51.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$17.76 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers22 claims22 services$15.13 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.

TRACY ANNE ROBINSON PA-C
Physician Assistant
1138 LEXINGTON RD
GEORGETOWN, KY 40324
Scott County (502) 867-6744
DR. MATTHEW C BIRDWHISTELL D.O.
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721
RAYMOND WECHMAN JR. MD
Family Medicine
1138 LEXINGTON RD, STE 130
GEORGETOWN, KY 40324
Scott County (502) 867-0222
MATTHEW C BIRDWHISTELL DO LLC
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721
LEXINGTON FOOT & ANKLE CENTER PSC
Podiatrist (Foot & Ankle Surgery)
1138 LEXINGTON RD, SUITE 210
GEORGETOWN, KY 40324
Scott County (859) 278-8855
KENTUCKY MSO LLC
Internal Medicine (Gastroenterology)
1138 LEXINGTON RD, SUITE 140
GEORGETOWN, KY 40324
Scott County (502) 570-3721
KRISTEN R STAKELIN M.D.
Internal Medicine
1138 LEXINGTON RD, STE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721
R. CRAIG MARTIN, M.D., P.S.C.
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Scott County (502) 863-0721

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 Robert Martin's NPI number?

The NPI number for Robert Martin is 1225020399. It was assigned to this individual provider in the NPPES registry on August 16, 2005. The provider is also known as R. Craig Martin M.D..

Where is Robert Martin located?

Robert Martin practices at 1138 Lexington Rd Suite 290, Georgetown, KY 40324. The listed phone number is (502) 863-0721.

What is Robert Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Martin enrolled in Medicare?

Yes. Robert 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.

Is Robert Martin affiliated with any hospitals?

According to CMS data, Robert Martin is affiliated with Georgetown Community Hospital, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Robert Martin was last updated on August 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.