EDWARD J MARTIN III M.D.
NPI 1255367132
Pathology - Anatomic Pathology in Gretna, LA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
75.18/100
CMS Quality Rating
1141 WHITNEY AVE, GRETNA, LA 70056(504) 361-3757(504) 361-3132 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward J Martin Iii M.d. NPPES

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

EDWARD J MARTIN III M.D. (NPI 1255367132) is an individual anatomic pathology provider in Gretna, Louisiana, licensed in Louisiana (018796) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Tulane University School Of Medicine (1986).

NPPES Registry Identity

NPI1255367132
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameEDWARD J MARTIN IIICredential: M.D.
Location Address1141 WHITNEY AVEGretna, LA 70056-5011
Mailing AddressPo Box 731280Dallas, TX 75373-1280 · (318) 841-9526
Fax(504) 361-3132
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1986
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 2, 2016
NPI 1255367132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in LA · 018796
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1141 WHITNEY AVE, Gretna, LA 70056

Other Identifiers 6

Medicare PIN249592YK3NLA
Medicare UPINF05622LA
Medicare PIN24952YH4ELA
Medicaid1922099LA
Medicare PIN249592YJYPLA
Medicare PIN5N741LA

Accepted 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

Edward J Martin Iii 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 ID9032130380
PECOS Enrollment IDI20051214000364
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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
143 services78 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
59 services16 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
58 services27 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
42 services27 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
39 services31 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
22 services16 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70056 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

75.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.8
Improvement Activities40

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.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
1141 WHITNEY AVE, BLDG #4
GRETNA, LA 70056
Pathology (Dermatopathology)
1141 WHITNEY AVE, BUILDING 3
GRETNA, LA 70056
Social Worker
1141 WHITNEY AVE, BLDG 4
GRETNA, LA 70056
Counselor
1141 WHITNEY AVE
GRETNA, LA 70056
Counselor (Addiction (Substance Use Disorder))
1141 WHITNEY AVE
GRETNA, LA 70056
Counselor (Addiction (Substance Use Disorder))
1141 WHITNEY AVE
GRETNA, LA 70056
Durable Medical Equipment & Medical Supplies
1141 WHITNEY AVE, BUILDING 4
GRETNA, LA 70056
Counselor (Mental Health)
1141 WHITNEY AVE
GRETNA, LA 70056

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 Edward Martin's NPI number?

The NPI number for Edward Martin is 1255367132. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Edward Martin located?

Edward Martin practices at 1141 Whitney Ave, Gretna, LA 70056. The listed phone number is (504) 361-3757.

What is Edward Martin's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Edward Martin enrolled in Medicare?

Yes. Edward 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.

What insurance does Edward Martin accept?

Health plans from HMO Louisiana and UnitedHealthcare list Edward 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.

Is Edward Martin affiliated with any hospitals?

According to CMS data, Edward Martin is affiliated with University Medical Center New Orleans and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Edward Martin was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.