NEIL T MARTIN MD
NPI 1467891119
Family Medicine in Lancaster, WI

Q: What is Neil Martin's NPI number?

The NPI number for Neil Martin is 1467891119. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Neil Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Neil Martin was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2013PECOS EnrolledAccepts Medicare Assignment

105 E LINCOLN AVE, LANCASTER, WI 53813(608) 723-3100(866) 560-8783 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2024, Jan 25, 2023, Jul 21, 2022 and 3 more (6 updates tracked since 2016).

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About Neil T Martin Md NPPES

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

NEIL T MARTIN MD (NPI 1467891119) is an individual family medicine provider in Lancaster, Wisconsin, licensed in Wisconsin (65556) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Grant Regional Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467891119

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNEIL T MARTINCredential: MD

Location Address105 E LINCOLN AVELancaster, WI 53813-2019

Mailing Address105 E Lincoln AveLancaster, WI 53813-2019 · (608) 723-3100 · Fax (866) 560-8783

Phone(608) 723-3100

Fax(866) 560-8783

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 17, 2013

Last NPPES UpdateJanuary 4, 20246 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1467891119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 65556✔ Licensed in IN · 11017367A

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.

105 E LINCOLN AVE, Lancaster, WI 53813

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Secondary Practice Locations 2

Location 11525 Lafollette StFennimore, WI 53809 · Phone (608) 822-3363 · Fax (866) 560-8783

Location 2507 S Monroe StLancaster, WI 53813-2054 · Phone (608) 723-2143

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners and more.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

Neil T 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.

PECOS PAC ID7315163490

PECOS Enrollment IDI20160720000967

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 9

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.

74 services61 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

61 services42 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

51 services19 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.

46 services37 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.

34 services34 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

32 services31 patients

Hospital Affiliations CMS Care Compare

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

Grant Regional Health Center

Critical Access Hospitals · Lancaster, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521322

Location507 S Monroe StLancaster, WI 53813 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53813 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers12 claims12 services$774.05 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier11 claims11 services$125.56 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims1,320 services$0.06 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$17.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

MEGAN E MEZERA LAT, ATC

Specialist/Technologist (Athletic Trainer)