DR. JUSTIN PAUL MARTELLO M.D.
NPI 1255622676
Psychiatry & Neurology - Neurology in Newark, DE

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment
200 HYGEIA DR STE 1420, NEWARK, DE 19713(302) 623-3017(302) 266-9962 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2023, Jun 21, 2016, May 15, 2016 (3 updates tracked since 2016).

About Dr. Justin Paul Martello M.d. NPPES

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

DR. JUSTIN PAUL MARTELLO M.D. (NPI 1255622676) is an individual neurology provider in Newark, Delaware, licensed in Delaware (C1-0011667) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of University Of Maryland School Of Medicine (2011).

NPPES Registry Identity

NPI1255622676
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JUSTIN PAUL MARTELLOCredential: M.D.
Location Address200 HYGEIA DR STE 1420Newark, DE 19713-2049
Mailing Address200 Hygeia Dr Ste 1420Newark, DE 19713-2049 · Fax (302) 266-9962
Fax(302) 266-9962
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2011
Enumeration DateApril 20, 2011
Last NPPES UpdateJanuary 31, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
NPI 1255622676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in DE · C1-0011667
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
200 HYGEIA DR STE 1420, Newark, DE 19713

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

Dr. Justin Paul Martello 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 ID5991003139
PECOS Enrollment IDI20160421000171, I20160614001007
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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,100 services15 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.
221 services193 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.
155 services141 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
112 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
79 services70 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.
74 services65 patients

Hospital Affiliations CMS Care Compare 2

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210015
Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County
Emergency services Birthing friendly

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier45 claims150 services$17.87 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier50 claims1,540 services$35.65 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier14 claims14 services$167.49 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
1 supplier51 claims1,624 services$168.05 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$127.90 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.

Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Vascular Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713

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 Justin Martello's NPI number?

The NPI number for Justin Martello is 1255622676. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Justin Martello located?

Justin Martello practices at 200 Hygeia Dr Ste 1420, Newark, DE 19713. The listed phone number is (302) 623-3017.

What is Justin Martello's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Justin Martello enrolled in Medicare?

Yes. Justin Martello 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 Justin Martello accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Justin Martello 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 Justin Martello affiliated with any hospitals?

According to CMS data, Justin Martello is affiliated with Medstar Franklin Square Medical Center and Medstar Union Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Martello was last updated on January 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.