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DR. PAULO MARTINS M.D, PHD, FAST, FACS
NPI 1386877900
Transplant Surgery in Worcester, MA

Active since August 30, 2009PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 LAKE AVE N, DEPARTMENT OF TRANSPLANT SURGERY, WORCESTER, MA 01655(508) 334-2023(508) 856-1102 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Nov 5, 2020, Dec 25, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Paulo Martins M.d, Phd, Fast, Facs NPPES

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

DR. PAULO MARTINS M.D, PHD, FAST, FACS (NPI 1386877900) is an individual transplant surgery provider in Worcester, Massachusetts, licensed in Massachusetts (242259) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1386877900
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. PAULO MARTINSCredential: M.D, PHD, FAST, FACS
Location Address55 LAKE AVE N, DEPARTMENT OF TRANSPLANT SURGERYWorcester, MA 01655-0002
Mailing Address266 S Quinsigamond AveShrewsbury, MA 01545-4432
Phone(508) 334-2023
Fax(508) 856-1102
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 30, 2009
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1386877900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in MA · 242259
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 242259 (MA)
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Other Identifiers 1

Medicaid110095075AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Dr. Paulo Martins M.d, Phd, Fast, Facs 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 ID3779728159
PECOS Enrollment IDI20241108003762
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services18 patients

Hospital Affiliations CMS Care Compare

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Paulo Martins's NPI number?

The NPI number for Paulo Martins is 1386877900. It was assigned to this individual provider in the NPPES registry on August 30, 2009.

Where is Paulo Martins located?

Paulo Martins practices at 55 Lake Ave N Department Of Transplant Surgery, Worcester, MA 01655. The listed phone number is (508) 334-2023.

What is Paulo Martins's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Paulo Martins enrolled in Medicare?

Yes. Paulo Martins 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 Paulo Martins accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Paulo Martins 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 Paulo Martins affiliated with any hospitals?

According to CMS data, Paulo Martins is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Paulo Martins was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.