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MATTHEW MARTIN
NPI 1265894513
Pediatrics in Columbus, OH

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-4411(614) 722-6132 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2016, Mar 25, 2016 (2 updates tracked since 2016).

About Matthew Martin NPPES

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

MATTHEW MARTIN (NPI 1265894513) is an individual pediatrics provider in Columbus, Ohio, licensed in Ohio (57.028443) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Wake Forest University School Of Medicine (2016).

NPPES Registry Identity

NPI1265894513
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW MARTIN
Location Address700 CHILDRENS DRColumbus, OH 43205-2664
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-4411 · Fax (614) 722-6132
Phone(614) 722-4411
Fax(614) 722-6132
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2016
Enumeration DateMarch 25, 2016
Last NPPES UpdateJune 29, 20162 updates tracked since enumeration
✔ NPI 1265894513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 57.028443
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
700 CHILDRENS DR, Columbus, OH 43205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Matthew Martin 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 ID4284928714
PECOS Enrollment IDI20220928000060
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.

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
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.

BELA M GANDHI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-8212
AMRIK SINGH KHALSA M.D.
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
DR. ROBERT MICHAEL DORMAN M.D.
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Franklin County (614) 722-0449
MR. CHRISTOPHER JONES MD
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
LEANNE MURRAY PHARMD
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
CLAIRE ELIZABETH CHRISTIAN M.D.
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
MEGAN MCNICOL
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
MARIA STRENG
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000

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 Matthew Martin's NPI number?

The NPI number for Matthew Martin is 1265894513. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Matthew Martin located?

Matthew Martin practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-4411.

What is Matthew Martin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Martin enrolled in Medicare?

Yes. Matthew 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 Matthew Martin accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Matthew 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 Matthew Martin affiliated with any hospitals?

According to CMS data, Matthew Martin is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Martin was last updated on June 29, 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.