JOSEPH MARTEL
NPI 1326247545
Ophthalmology in Pittsburgh, PA

Q: What is Joseph Martel's NPI number?

The NPI number for Joseph Martel is 1326247545. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Joseph Martel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Martel was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

203 LOTHROP ST FL 8, PITTSBURGH, PA 15213(412) 647-2200 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2023, Mar 25, 2021 (2 updates tracked since 2021).

On this page

About Joseph Martel NPPES

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

JOSEPH MARTEL (NPI 1326247545) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in North Carolina (2011-00476) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of University Of Nevada School Of Medicine (2007).

NPPES Registry Identity

NPI1326247545

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJOSEPH MARTEL

Location Address203 LOTHROP ST FL 8Pittsburgh, PA 15213-2548

Mailing Address203 Lothrop St Fl 8Pittsburgh, PA 15213-2548

Phone(412) 647-2200

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2007

Enumeration DateJuly 17, 2007

Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration

NPPES CertifiedMarch 17, 2023

✔ NPI 1326247545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NC · 2011-00476

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

203 LOTHROP ST FL 8, Pittsburgh, PA 15213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware 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

Joseph Martel 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 ID7517138001

PECOS Enrollment IDI20130830000504

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 14

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

4,380 services17 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.

403 services222 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

233 services66 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

150 services22 patients

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.

110 services89 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

105 services48 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

95 services87 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.

82 services60 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

53 services26 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

31 services23 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

23 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

18 services17 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390028

Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Other Providers at the Same Location NPPES 6

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

DR. ELIZABETH CONNER MBCHB

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)

203 LOTHROP ST FL 8
PITTSBURGH, PA 15213

Allegheny County (330) 518-1157

COLIN PRENSKY

Ophthalmology (Retina Specialist)

203 LOTHROP ST FL 8, EEINS, 6TH, 7TH AND 8TH FLOORS
PITTSBURGH, PA 15213

Allegheny County (412) 647-2200

DR. LILLIAN KHOWONG TO MD

Ophthalmology (Glaucoma Specialist)

203 LOTHROP ST FL 8
PITTSBURGH, PA 15213

Allegheny County (412) 647-2200

CAN KOCASARAC MD

Ophthalmology (Neuro-ophthalmology)

203 LOTHROP ST FL 8
PITTSBURGH, PA 15213

Allegheny County (312) 996-7774

DR. ANDREW WILLIAMS MD

Ophthalmology (Glaucoma Specialist)

203 LOTHROP ST FL 8
PITTSBURGH, PA 15213

Allegheny County (412) 647-2200

SABRINA MUKHTAR MD

Ophthalmology (Cornea and External Diseases Specialist)

203 LOTHROP ST FL 8
PITTSBURGH, PA 15213

Allegheny County (412) 647-2200

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 Joseph Martel's NPI number?

The NPI number for Joseph Martel is 1326247545. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Joseph Martel located?

Joseph Martel practices at 203 Lothrop St Fl 8, Pittsburgh, PA 15213. The listed phone number is (412) 647-2200.

What is Joseph Martel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Martel enrolled in Medicare?

Yes. Joseph Martel 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 Joseph Martel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Joseph Martel 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 Joseph Martel affiliated with any hospitals?

According to CMS data, Joseph Martel is affiliated with Upmc Mercy.

When was this NPI record last updated?

The NPPES record for Joseph Martel was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.