ROBERT EDWARD MARTIN M.D.
NPI 1356318794
Orthopaedic Surgery in Castro Valley, CA

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
71.86/100
CMS Quality Rating
21030 REDWOOD RD, CASTRO VALLEY, CA 94546(510) 247-8281(510) 247-8280 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2021, Jan 10, 2019 (2 updates tracked since 2019).

About Robert Edward Martin M.d. NPPES

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

ROBERT EDWARD MARTIN M.D. (NPI 1356318794) is an individual orthopaedic surgery provider in Castro Valley, California, licensed in California (G671850) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1988).

NPPES Registry Identity

NPI1356318794
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT EDWARD MARTINCredential: M.D.
Location Address21030 REDWOOD RDCastro Valley, CA 94546-5920
Mailing Address23 Railroad Ave Unit 1314Danville, CA 94526-1142 · (510) 247-8281 · Fax (510) 247-8280
Fax(510) 247-8280
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1988
Enumeration DateMarch 3, 2006
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1356318794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · G671850
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
21030 REDWOOD RD, Castro Valley, CA 94546

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

Robert Edward Martin 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 ID2365514007
PECOS Enrollment IDI20080711000502
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 9

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
572 services100 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
166 services108 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.
164 services109 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.
155 services119 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.
76 services76 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94546 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

71.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.75
Promoting Interoperability100
Improvement Activities40
Cost34.46

Reported Quality Measures

Breast Cancer Screening
78%221 patients4/55-star benchmark: 93%
Cervical Cancer Screening
38%121 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
33%436 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
40%242 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
30%67 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%67 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
41%1,349 patients1/55-star benchmark: 100%
e-Prescribing
95%574 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%391 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%677 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
3%563 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%790 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 74% · 373 patients
70%373 patients
Provide Patients Electronic Access to Their Health Information
100%733 patients5/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 410 patients
Patients totalRate: 6% · 410 patients
4%410 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier12 claims12 services$285.45 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 9

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

Physician Assistant (Medical)
21030 REDWOOD RD
CASTRO VALLEY, CA 94546
Dietitian, Registered
21030 REDWOOD RD
CASTRO VALLEY, CA 94546
Non-Pharmacy Dispensing Site
21030 REDWOOD RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery
21030 REDWOOD RD
CASTRO VALLEY, CA 94546
Physiological Laboratory
21030 REDWOOD RD
CASTRO VALLEY, CA 94546
Radiology (Diagnostic Radiology)
21030 REDWOOD RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery
21030 REDWOOD RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery
21030 REDWOOD RD
CASTRO VALLEY, CA 94546

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 Robert Martin's NPI number?

The NPI number for Robert Martin is 1356318794. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Robert Martin located?

Robert Martin practices at 21030 Redwood Rd, Castro Valley, CA 94546. The listed phone number is (510) 247-8281.

What is Robert Martin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Martin enrolled in Medicare?

Yes. Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Martin was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.