MARTIN CRAIN M.D.
NPI 1285655159
Radiology - Vascular & Interventional Radiology in New Berlin, WI

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
2875 S 171ST ST, NEW BERLIN, WI 53151(262) 786-3107(262) 780-0442 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Nov 29, 2021 (2 updates tracked since 2021).

About Martin Crain M.d. NPPES

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

MARTIN CRAIN M.D. (NPI 1285655159) is an individual vascular & interventional radiology provider in New Berlin, Wisconsin, licensed in Wisconsin (333246) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1285655159
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameMARTIN CRAINCredential: M.D.
Location Address2875 S 171ST STNew Berlin, WI 53151-3511
Mailing Address2875 S 171st StNew Berlin, WI 53151-3511 · (262) 786-3107 · Fax (262) 780-0442
Fax(262) 780-0442
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 23, 2006
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1285655159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in WI · 333246
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
2875 S 171ST ST, New Berlin, WI 53151

Other Identifiers 1

Medicaid31813900WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin Crain 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 ID1658273057
PECOS Enrollment IDI20040126000351
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Martin Crain reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
Internal Medicine
45 TOWER CT, SUITE C
Gurnee, IL 60031
  • Reassigned Medicare billing, Wisconsin enrollment
  • 42 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 28

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.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
185 services185 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
109 services109 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
104 services103 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
89 services88 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
67 services64 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
60 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Vascular & Interventional Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151

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 Martin Crain's NPI number?

The NPI number for Martin Crain is 1285655159. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Martin Crain located?

Martin Crain practices at 2875 S 171st St, New Berlin, WI 53151. The listed phone number is (262) 786-3107.

What is Martin Crain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Martin Crain enrolled in Medicare?

Yes. Martin Crain 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.

Which organizations bill Medicare for Martin Crain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Crain reassigns Medicare benefits to 4 organizations: Aurora Medical Group, Inc. (West Allis, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI) and Amg Illinois Ltd (Gurnee, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Crain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Crain accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Martin Crain 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 Martin Crain affiliated with any hospitals?

According to CMS data, Martin Crain is affiliated with Aurora Medical Ctr Washington County, Aurora St Lukes Medical Center, Aurora Medical Center Kenosha, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Martin Crain was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.