Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL DI MARTINO PSY.D.
NPI 1316505969
Psychologist - Clinical in Charlevoix, MI

Q: What is Michael Di Martino's NPI number?

The NPI number for Michael Di Martino is 1316505969. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Q: What is Michael Di Martino's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 30, 2019PECOS Enrolled

221 BRIDGE ST, CHARLEVOIX, MI 49720(650) 387-3927 Get Directions Write a Review

NPPES record last updated: October 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2026, Dec 19, 2025, Mar 11, 2025 and 1 more (4 updates tracked since 2019).

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About Dr. Michael Di Martino Psy.d. NPPES

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

DR. MICHAEL DI MARTINO PSY.D. (NPI 1316505969) is an individual clinical provider in Charlevoix, Michigan, licensed in Michigan (6301019776) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316505969

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL DI MARTINOCredential: PSY.D.

Location Address221 BRIDGE STCharlevoix, MI 49720-1400

Mailing Address221 Bridge StCharlevoix, MI 49720-1400 · (650) 387-3927

Phone(650) 387-3927

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMay 30, 2019

Last NPPES UpdateOctober 4, 20264 updates tracked since enumeration

NPPES CertifiedOctober 4, 2026

✔ NPI 1316505969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301019776

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

221 BRIDGE ST, Charlevoix, MI 49720

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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, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Di Martino Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648766790

PECOS Enrollment IDI20251229001795

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 Reassignment

Medicare enrollment records show Michael Di Martino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine River Psychological Services PLLC

Same address

Clinical

221 BRIDGE ST
Charlevoix, MI 49720

Reassigned Medicare billing, Michigan enrollment

NPI 1992660005 (650) 387-3927

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49720 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

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.

Other Providers at the Same Location NPPES 2

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

MIND YOUR MATTER PLLC

Counselor (Mental Health)

221 BRIDGE ST
CHARLEVOIX, MI 49720

Charlevoix County (231) 675-3925

PINE RIVER PSYCHOLOGICAL SERVICES PLLC

Psychologist (Clinical)

221 BRIDGE ST
CHARLEVOIX, MI 49720

Charlevoix County (650) 387-3927

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 Di Martino's NPI number?

The NPI number for Michael Di Martino is 1316505969. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Michael Di Martino located?

Michael Di Martino practices at 221 Bridge St, Charlevoix, MI 49720. The listed phone number is (650) 387-3927.

What is Michael Di Martino's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Di Martino enrolled in Medicare?

Yes. Michael Di Martino is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Di Martino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Di Martino reassigns Medicare benefits to Pine River Psychological Services PLLC (Charlevoix, MI). The 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 Michael Di Martino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Di Martino accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Michael Di Martino 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.

When was this NPI record last updated?

The NPPES record for Michael Di Martino was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.