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DR. MICHAEL RICHARD MARTIN D.O.
NPI 1376607168
Internal Medicine in Warwick, RI

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
215 TOLL GATE RD, SUITE 306, WARWICK, RI 02886(401) 738-6565(401) 738-6599 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Richard Martin D.o. NPPES

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

DR. MICHAEL RICHARD MARTIN D.O. (NPI 1376607168) is an individual internal medicine provider in Warwick, Rhode Island, licensed in Rhode Island (00512) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1376607168
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL RICHARD MARTINCredential: D.O.
Location Address215 TOLL GATE RD, SUITE 306Warwick, RI 02886-4458
Mailing Address4 Dogwood DrCoventry, RI 02816-6650 · (401) 821-7870
Phone(401) 738-6565
Fax(401) 738-6599
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 19, 2006
Last NPPES UpdateOctober 10, 2007
✔ NPI 1376607168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · 00512
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
215 TOLL GATE RD, Warwick, RI 02886
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH20763RI

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

Dr. Michael Richard Martin D.o. 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 ID6709074842
PECOS Enrollment IDI20101216000339
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 4

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.
117 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 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.
96 services78 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
31 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers36 claims72 services$5.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims13 services$0.96 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier18 claims18 services$9.22 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$189.85 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 20

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

J E NOONAN JR INC
Orthopaedic Surgery
215 TOLL GATE RD, SUITE 206
WARWICK, RI 02886
Kent County (401) 739-9050
JENNETTE V BUTTERFIELD NPP
Registered Nurse (Gastroenterology)
215 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 739-7345
TOLL GATE PEDIATRICS, INC.
Pediatrics
215 TOLL GATE RD, SUITE 104
WARWICK, RI 02886
Kent County (401) 737-9240
FRANKLIN E MIRRER MD ORTHOPAEDIC SURGEON INC
Orthopaedic Surgery
215 TOLL GATE RD, SUITE 206
WARWICK, RI 02886
Kent County (401) 739-9050
DR. STEPHEN LAWRENCE MATARESE DO
Internal Medicine (Pulmonary Disease)
215 TOLL GATE RD, SUITE 301
WARWICK, RI 02886
Kent County (401) 732-1508
HEALTHY BEGINNINGS INC.
Obstetrics & Gynecology
215 TOLL GATE RD, SUITE 206
WARWICK, RI 02886
Kent County (401) 732-5600
ANTHONY MARINO PTA
Physical Therapy Assistant
215 TOLL GATE RD, SUITE 205
WARWICK, RI 02886
Kent County (401) 773-7272
RICHARD P SAN ANTONIO MD
Internal Medicine (Cardiovascular Disease)
215 TOLL GATE RD, SUITE 305
WARWICK, RI 02886
Kent County (401) 738-2601

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 Martin's NPI number?

The NPI number for Michael Martin is 1376607168. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Michael Martin located?

Michael Martin practices at 215 Toll Gate Rd Suite 306, Warwick, RI 02886. The listed phone number is (401) 738-6565.

What is Michael Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Martin enrolled in Medicare?

Yes. Michael 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.

Is Michael Martin affiliated with any hospitals?

According to CMS data, Michael Martin is affiliated with Our Lady Of Fatima Hospital, Rhode Island Hospital, Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Michael Martin was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.