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DR. MICHAEL F MARTONE M.D.
NPI 1306145578
Family Medicine in Jackson, MI

Active since March 27, 2011PECOS EnrolledAccepts Medicare Assignment
400 HINCKLEY BLVD, JACKSON, MI 49203(517) 205-8991(517) 205-0114 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2021, Nov 15, 2016 (2 updates tracked since 2016).

About Dr. Michael F Martone M.d. NPPES

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

DR. MICHAEL F MARTONE M.D. (NPI 1306145578) is an individual family medicine provider in Jackson, Michigan, licensed in Michigan (4301098919) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306145578
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL F MARTONECredential: M.D.
Location Address400 HINCKLEY BLVDJackson, MI 49203-6152
Mailing Address400 Hinckley BlvdJackson, MI 49203-6152 · (517) 205-8991
Phone(517) 205-8991
Fax(517) 205-0114
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 27, 2011
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1306145578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301098919
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

400 HINCKLEY BLVD, Jackson, MI 49203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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. Michael F Martone 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 ID7113170283
PECOS Enrollment IDI20140506000802
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 6

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.
228 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
149 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
141 services141 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services16 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
16 services15 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49203 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers34 claims80 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims23 services$1.08 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims470 services$0.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers19 claims19 services$90.85 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$20.22 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$15.41 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 19

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

W. A. FOOTE MEMORIAL HOSPITAL, INC
Clinical Medical Laboratory
400 HINCKLEY BLVD
JACKSON, MI 49203
Jackson County (517) 205-2299
PATRICIA A BAUMGARTNER N.P.
Nurse Practitioner (Family)
400 HINCKLEY BLVD, SUITE 100
JACKSON, MI 49203
Jackson County (517) 784-0588
ERIN NICOLE MURFEY MD
Emergency Medicine
400 HINCKLEY BLVD, STE 100
JACKSON, MI 49203
Jackson County (517) 784-0141
MR. RONALD PAUL WAGNER PA-C
Physician Assistant
400 HINCKLEY BLVD, STE A
JACKSON, MI 49203
Jackson County (517) 782-7432
RAY H KING M.D.
Family Medicine
400 HINCKLEY BLVD, SUITE 100
JACKSON, MI 49203
Jackson County (517) 784-0588
LAURA MARIE REULE PA-C
Physician Assistant
400 HINCKLEY BLVD
JACKSON, MI 49203
Jackson County (517) 205-8991
TOWNSEND MEDICAL CENTER, PLC
Nurse Practitioner (Family)
400 HINCKLEY BLVD, SUITE 100
JACKSON, MI 49203
Jackson County (517) 784-0141
BRITTANY JOHANNA WILLIAMSON D.O.
Family Medicine
400 HINCKLEY BLVD, SUITE 100
JACKSON, MI 49203
Jackson County (517) 784-0588

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 Michael Martone's NPI number?

The NPI number for Michael Martone is 1306145578. It was assigned to this individual provider in the NPPES registry on March 27, 2011.

Where is Michael Martone located?

Michael Martone practices at 400 Hinckley Blvd, Jackson, MI 49203. The listed phone number is (517) 205-8991.

What is Michael Martone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Martone enrolled in Medicare?

Yes. Michael Martone 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 Michael Martone accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Michael Martone 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 Michael Martone affiliated with any hospitals?

According to CMS data, Michael Martone is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Michael Martone was last updated on February 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.