MARTHA GILLHAM M.D.
NPI 1275532699
Internal Medicine in Bellingham, WA

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
91.32/100
CMS Quality Rating
4545 CORDATA PKWY, BELLINGHAM, WA 98226(360) 738-2200(360) 752-5683 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martha Gillham M.d. NPPES

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

MARTHA GILLHAM M.D. (NPI 1275532699) is an individual internal medicine provider in Bellingham, Washington, licensed in Washington (MD00035167) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of University Of Washington School Of Medicine (1995).

NPPES Registry Identity

NPI1275532699
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARTHA GILLHAMCredential: M.D.
Location Address4545 CORDATA PKWYBellingham, WA 98226-7123
Mailing AddressPo Box 5096Bellingham, WA 98227-5096 · (360) 738-2200 · Fax (360) 752-5683
Fax(360) 752-5683
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1995
Enumeration DateJuly 18, 2005
Last NPPES UpdateSeptember 30, 2010
NPI 1275532699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD00035167
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.

4545 CORDATA PKWY, Bellingham, WA 98226

Other Identifiers 6

Other0229852WA · L&i And Crime Victims
Medicare PING8871847WA
Other4397GIWA · Regence
Medicare UPING 89548WA
Other5567716WA · Aetna
Medicaid1275532699WA

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

Martha Gillham 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 ID7113004094
PECOS Enrollment IDI20080402000380
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
475 services168 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services26 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98226 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

91.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.23
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%212 patients5/55-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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$88.20 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.

Nurse Practitioner (Pediatrics, Critical Care)
4545 CORDATA PKWY, SUITE 1E
BELLINGHAM, WA 98226
Obstetrics & Gynecology (Gynecology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Clinic/Center (Radiology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Nurse Practitioner (Pediatrics)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Internal Medicine
4545 CORDATA PKWY, SUITE 2B
BELLINGHAM, WA 98226
Internal Medicine
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Nurse Practitioner (Adult Health)
4545 CORDATA PKWY, SUITE 2A & 2B
BELLINGHAM, WA 98226
Nurse Practitioner (Obstetrics & Gynecology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226

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 Martha Gillham's NPI number?

The NPI number for Martha Gillham is 1275532699. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Martha Gillham located?

Martha Gillham practices at 4545 Cordata Pkwy, Bellingham, WA 98226. The listed phone number is (360) 738-2200.

What is Martha Gillham's specialty?

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

Is Martha Gillham enrolled in Medicare?

Yes. Martha Gillham 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 Martha Gillham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Martha Gillham 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 Martha Gillham affiliated with any hospitals?

According to CMS data, Martha Gillham is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Martha Gillham was last updated on September 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.