DR. DELLICE MARTIN M.D.
NPI 1407829203
Internal Medicine - Critical Care Medicine in Saint Charles, MO

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301(636) 947-5162 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dellice Martin M.d. NPPES

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

DR. DELLICE MARTIN M.D. (NPI 1407829203) is an individual critical care medicine provider in Saint Charles, Missouri, licensed in Missouri (101041) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Bridgeton.

NPPES Registry Identity

NPI1407829203
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. DELLICE MARTINCredential: M.D.
Location Address300 1ST CAPITOL DRSaint Charles, MO 63301-2844
Mailing Address300 1st Capitol DrSaint Charles, MO 63301-2844 · (636) 947-5162 · Fax (636) 949-7273
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1992
Enumeration DateFebruary 10, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1407829203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MO · 101041
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
300 1ST CAPITOL DR, Saint Charles, MO 63301

Secondary Practice Location 1

Location 112303 DePaul DriveBridgeton, MO 63141 · Phone (314) 344-6000 · Fax (314) 514-6020

Other Identifiers 1

Medicaid208951426MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dellice 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 ID4587558812
PECOS Enrollment IDI20040209001022
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dellice Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
300 1ST CAPITOL DR
Saint Charles, MO 63301
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services43 patients
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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63301 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

Physician Assistant
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Nurse Anesthetist, Certified Registered
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Internal Medicine
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Dietitian, Registered
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Occupational Therapist
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Internal Medicine (Pulmonary Disease)
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Pharmacist
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301
Emergency Medicine
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301

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 Dellice Martin's NPI number?

The NPI number for Dellice Martin is 1407829203. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Dellice Martin located?

Dellice Martin practices at 300 1st Capitol Dr, Saint Charles, MO 63301. The listed phone number is (636) 947-5162.

What is Dellice Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Dellice Martin enrolled in Medicare?

Yes. Dellice 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.

Which organizations bill Medicare for Dellice Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dellice Martin reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Saint Charles, MO) and Cogent Healthcare Of Missouri, Inc (Fenton, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dellice Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dellice Martin accept?

Health plans from Anthem Blue Cross and Blue Shield list Dellice Martin 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 Dellice Martin affiliated with any hospitals?

According to CMS data, Dellice Martin is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Dellice Martin was last updated on May 24, 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.