STEPHEN MARTIN MD
NPI 1427028810
Family Medicine in Barre, MA
About Stephen Martin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN MARTIN MD (NPI 1427028810) is an individual family medicine provider in Barre, Massachusetts, licensed in Massachusetts (222798) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Harvard Medical School (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Stephen Martin Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Stephen Martin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gardner, MA 01440
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Heywood Medical Group Inc.
- 218 clinicians in this Medicare group
Gardner, MA 01440
- Reassigned Medicare billing, Massachusetts enrollment
- 344 clinicians in this Medicare group
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Portland, OR 97204
- Reassigned Medicare billing, Ohio enrollment
- 162 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BARRE, MA 01005
BARRE, MA 01005
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 Stephen Martin's NPI number?
The NPI number for Stephen Martin is 1427028810. It was assigned to this individual provider in the NPPES registry on January 26, 2006.
Where is Stephen Martin located?
Stephen Martin practices at 151 Worcester Road Barre Family Health Center, Barre, MA 01005. The listed phone number is (978) 355-6321.
What is Stephen Martin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stephen Martin enrolled in Medicare?
Yes. Stephen 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 Stephen Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Martin reassigns Medicare benefits to 4 organizations: Heywood Affiliated Medical Group Inc. (Gardner, MA), Henry Heywood Memorial Hospital (Gardner, MA), Umass Memorial Medical Group Inc (Worcester, MA) and Boulder Care Provider Group PA (Portland, OR). 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 Stephen Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Martin accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Molina Healthcare and Taro Health list Stephen 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 Stephen Martin affiliated with any hospitals?
According to CMS data, Stephen Martin is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Stephen Martin was last updated on November 16, 2020. 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.
# Stephen Martin, MD · NPI 1427028810
Family Medicine physician in Barre, Massachusetts. Individual provider, active in the CMS NPPES registry since January 26, 2006.
## Identity
- **NPI:** 1427028810 (Entity type: Individual)
- **Enumerated:** January 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 222798 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 151 WORCESTER ROAD, BARRE FAMILY HEALTH CENTER, Barre, MA 01005
- **Phone:** (978) 355-6321 · **Fax:** (978) 355-6549
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Heywood Affiliated Medical Group Inc. (NPI 1215304589, Gardner, MA); Henry Heywood Memorial Hospital (NPI 1205448701, Gardner, MA); Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Boulder Care Provider Group PA (NPI 1649838590, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2002
## Record status
- **NPPES last updated:** November 16, 2020
- **Other identifiers:** Medicaid 1301128 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1427028810) · Data from the CMS NPPES public registry.