MICHAEL PAUL MARTINELLI P.A-C
NPI 1366488017
Physician Assistant in Decatur, GA

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
2701 NORTH DECATUR ROAD, DECATUR, GA 30033(404) 501-1849 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Paul Martinelli P.a-c NPPES

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

MICHAEL PAUL MARTINELLI P.A-C (NPI 1366488017) is an individual physician assistant in Decatur, Georgia, licensed in Missouri (2024032326) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1366488017
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL PAUL MARTINELLICredential: P.A-C
Location Address2701 NORTH DECATUR ROADDecatur, GA 30033
Mailing Address2100 Powell Street, Ste 920Emeryville, CA 94608-1803 · (510) 350-2600 · Fax (510) 879-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 21, 2006
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
NPI 1366488017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MO · 2024032326 Licensed in GA · 004436 Licensed in GA · 4436
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2701 NORTH DECATUR ROAD, Decatur, GA 30033

Other Identifiers 2

Medicaid911331220AGA
Medicaid911331220BGA

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

Michael Paul Martinelli P.a-c 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 ID2466475215
PECOS Enrollment IDI20060109000262
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services42 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 15

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

Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Physician Assistant
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Pathology (Anatomic Pathology & Clinical Pathology)
2701 NORTH DECATUR ROAD, PATHOLOGY DEPT
DECATUR, GA 30033
Physician Assistant
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Emergency Medicine
2701 NORTH DECATUR ROAD
DECATUR, GA 30033

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 Martinelli's NPI number?

The NPI number for Michael Martinelli is 1366488017. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Michael Martinelli located?

Michael Martinelli practices at 2701 North Decatur Road, Decatur, GA 30033. The listed phone number is (404) 501-1849.

What is Michael Martinelli's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Martinelli enrolled in Medicare?

Yes. Michael Martinelli 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 Martinelli accept?

Health plans from Oscar Insurance Company list Michael Martinelli 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 Martinelli affiliated with any hospitals?

According to CMS data, Michael Martinelli is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Michael Martinelli was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.