MICHELE M MARTIN OD
NPI 1316913460
Optometrist in Madison, WI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
5249 E TERRACE DR, MADISON, WI 53718(608) 265-1295(608) 265-0920 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michele M Martin Od NPPES

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

MICHELE M MARTIN OD (NPI 1316913460) is an individual optometrist in Madison, Wisconsin, licensed in Wisconsin (2507) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Illinois College Of Optometry At Chicago (1992).

NPPES Registry Identity

NPI1316913460
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMICHELE M MARTINCredential: OD
Location Address5249 E TERRACE DRMadison, WI 53718
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 265-0920
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1992
Enumeration DateFebruary 28, 2006
Last NPPES UpdateApril 28, 2009
NPI 1316913460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 2507
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5249 E TERRACE DR, Madison, WI 53718

Other Names 1

Other Name (5)Michele Martin Bloes

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

Michele M Martin Od 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 ID7719017656
PECOS Enrollment IDI20100618000838
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 8

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 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.
480 services453 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
135 services105 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
87 services81 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
67 services65 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
52 services47 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718

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 Michele Martin's NPI number?

The NPI number for Michele Martin is 1316913460. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Michele Martin Bloes.

Where is Michele Martin located?

Michele Martin practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 265-1295.

What is Michele Martin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michele Martin enrolled in Medicare?

Yes. Michele Martin 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 Michele Martin accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners, Quartz and Security Health Plan list Michele Martin 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 Michele Martin affiliated with any hospitals?

According to CMS data, Michele Martin is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Michele Martin was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.