DR. MARTHA GENE STEARN MD
NPI 1285748343
Internal Medicine in Jackson, WY

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
555 E BROADWAY AVE STE 207, JACKSON, WY 83001(307) 733-8002 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2021, May 1, 2019, Jun 19, 2017 (3 updates tracked since 2017).

About Dr. Martha Gene Stearn Md NPPES

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

DR. MARTHA GENE STEARN MD (NPI 1285748343) is an individual internal medicine provider in Jackson, Wyoming, licensed in Wyoming (3000A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1285748343
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARTHA GENE STEARNCredential: MD
Location Address555 E BROADWAY AVE STE 207Jackson, WY 83001-8640
Mailing AddressPo Box 428Jackson Hole, WY 83001-0428 · (307) 739-7434 · Fax (307) 734-0914
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1976
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 18, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1285748343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WY · 3000A
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.
555 E BROADWAY AVE STE 207, Jackson, WY 83001

Secondary Practice Location 1

Location 1555 E Broadway Ave Ste 201Jackson, WY 83001-8640 · Phone (307) 739-7434 · Fax (307) 739-4833

Other Identifiers 1

Medicaid113183400WY

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. Martha Gene Stearn Md 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 ID9537356290
PECOS Enrollment IDI20101207000432
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.

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.
61 services36 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.
31 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83001 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers34 claims34 services$43.54 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers21 claims21 services$114.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers24 claims72 services$43.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$63.00 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers25 claims25 services$24.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers35 claims206 services$3.03 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

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

Physician Assistant
555 E BROADWAY AVE STE 207
JACKSON, WY 83001

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 Stearn's NPI number?

The NPI number for Martha Stearn is 1285748343. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Martha Stearn located?

Martha Stearn practices at 555 E Broadway Ave Ste 207, Jackson, WY 83001. The listed phone number is (307) 733-8002.

What is Martha Stearn's specialty?

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

Is Martha Stearn enrolled in Medicare?

Yes. Martha Stearn 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 Stearn accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Martha Stearn 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 Stearn affiliated with any hospitals?

According to CMS data, Martha Stearn is affiliated with St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Martha Stearn was last updated on February 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.