DON MARTIN M.D.
NPI 1265478093
Internal Medicine - Rheumatology in Harrisonburg, VA

Active since June 21, 2006PECOS Enrolled
95.11/100
CMS Quality Rating
2006 HEALTH CAMPUS DR, HARRISONBURG, VA 22801(540) 689-5700(757) 431-7156 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2019, Apr 25, 2017 (2 updates tracked since 2017).

About Don Martin M.d. NPPES

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

DON MARTIN M.D. (NPI 1265478093) is an individual rheumatology provider in Harrisonburg, Virginia, licensed in Virginia (0101241964) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265478093
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDON MARTINCredential: M.D.
Location Address2006 HEALTH CAMPUS DRHarrisonburg, VA 22801-8679
Mailing AddressPo Box 1430Harrisonburg, VA 22803-1430 · (540) 689-5700 · Fax (757) 431-7156
Fax(757) 431-7156
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
NPI 1265478093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in VA · 0101241964
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License D40897 (MD)
2006 HEALTH CAMPUS DR, Harrisonburg, VA 22801

Other Identifiers 1

Medicaid1265478093VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Don Martin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.
853 services456 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.
90 services87 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.
21 services14 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22801 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
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.

Surgery (Vascular Surgery)
2006 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
Surgery
2006 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
Dietitian, Registered
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Surgery
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Specialist
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Internal Medicine (Rheumatology)
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Physician Assistant
2006 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
Surgery
2006 HEALTH CAMPUS DR
HARRISONBURG, VA 22801

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 Don Martin's NPI number?

The NPI number for Don Martin is 1265478093. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Don Martin located?

Don Martin practices at 2006 Health Campus Dr, Harrisonburg, VA 22801. The listed phone number is (540) 689-5700.

What is Don Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Don Martin enrolled in Medicare?

Yes. Don Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Don Martin was last updated on August 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.