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MARTIN JOHN TINKERHESS M.D.
NPI 1417305129
Family Medicine in South Lyon, MI

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
23200 PONTIAC TRL, SOUTH LYON, MI 48178(248) 446-2935(248) 446-2936 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2023, Aug 14, 2019 (2 updates tracked since 2019).

About Martin John Tinkerhess M.d. NPPES

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

MARTIN JOHN TINKERHESS M.D. (NPI 1417305129) is an individual family medicine provider in South Lyon, Michigan, licensed in Washington (MD60948990) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1417305129
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARTIN JOHN TINKERHESSCredential: M.D.
Location Address23200 PONTIAC TRLSouth Lyon, MI 48178-1983
Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766 · Fax (734) 222-3100
Phone(248) 446-2935
Fax(248) 446-2936
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1417305129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60948990
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23200 PONTIAC TRL, South Lyon, MI 48178
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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

Martin John Tinkerhess 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 ID7113214552
PECOS Enrollment IDI20230501002851
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 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.
158 services69 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.
37 services31 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services12 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48178 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 6

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
10 suppliers37 claims145 services$6.45 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$9.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$81.77 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers25 claims1,140 services$7.06 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
4 suppliers41 claims41 services$190.28 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers26 claims26 services$122.10 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 3

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

LAUREN ELIZABETH CARNEY DO
Family Medicine
23200 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (248) 446-2935
KATHERINE BALOGH
Family Medicine
23200 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (248) 446-2935
WILHELM FAMILY CHIROPRACTIC AND MASSAGE PLLC
Chiropractor
23200 PONTIAC TRL
SOUTH LYON, MI 48178
Oakland County (734) 274-1605

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 Martin Tinkerhess's NPI number?

The NPI number for Martin Tinkerhess is 1417305129. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Martin Tinkerhess located?

Martin Tinkerhess practices at 23200 Pontiac Trl, South Lyon, MI 48178. The listed phone number is (248) 446-2935.

What is Martin Tinkerhess's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Martin Tinkerhess enrolled in Medicare?

Yes. Martin Tinkerhess 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 Martin Tinkerhess accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Martin Tinkerhess 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 Martin Tinkerhess affiliated with any hospitals?

According to CMS data, Martin Tinkerhess is affiliated with St Joe Mercy Hospital System Livonia, Saint Joseph Mercy Livingston Hospital and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Martin Tinkerhess was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.