THERESA MARTIN MD
NPI 1497133342
Family Medicine in Marion, NY

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
3669 COUNTRYSIDE LN, MARION, NY 14505(315) 926-7733(315) 926-0731 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2018, Mar 29, 2018 (2 updates tracked since 2018).

About Theresa Martin Md NPPES

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

THERESA MARTIN MD (NPI 1497133342) is an individual family medicine provider in Marion, New York, licensed in New York (295038) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1497133342
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHERESA MARTINCredential: MD
Location Address3669 COUNTRYSIDE LNMarion, NY 14505
Mailing AddressPo Box 110Marion, NY 14505-0110 · (315) 926-7733 · Fax (315) 926-0731
Fax(315) 926-0731
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateMay 12, 2015
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPI 1497133342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 295038
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.

3669 COUNTRYSIDE LN, Marion, NY 14505

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

Theresa 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 ID8527356302
PECOS Enrollment IDI20180810001304
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 3

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.
52 services33 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.
32 services25 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14505 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.59
Promoting Interoperability100
Improvement Activities40
Cost50.22

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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$61.75 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 8

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

Family Medicine
3669 COUNTRYSIDE LN
MARION, NY 14505
Nurse Practitioner (Family)
3669 COUNTRYSIDE LN
MARION, NY 14505
Family Medicine
3669 COUNTRYSIDE LN
MARION, NY 14505
Registered Nurse
3669 COUNTRYSIDE LN
MARION, NY 14505
Physician Assistant (Medical)
3669 COUNTRYSIDE LN
MARION, NY 14505
Internal Medicine
3669 COUNTRYSIDE LN
MARION, NY 14505
Nurse Practitioner (Family)
3669 COUNTRYSIDE LN
MARION, NY 14505
Nurse Practitioner (Family)
3669 COUNTRYSIDE LN
MARION, NY 14505

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 Theresa Martin's NPI number?

The NPI number for Theresa Martin is 1497133342. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Theresa Martin located?

Theresa Martin practices at 3669 Countryside Ln, Marion, NY 14505. The listed phone number is (315) 926-7733.

What is Theresa Martin's specialty?

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

Is Theresa Martin enrolled in Medicare?

Yes. Theresa 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.

Is Theresa Martin affiliated with any hospitals?

According to CMS data, Theresa Martin is affiliated with F F Thompson Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Martin was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.