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STEPHEN E MARTINY M.D.
NPI 1528212602
Family Medicine in Cumming, GA

Active since November 16, 2008PECOS EnrolledAccepts Medicare Assignment
1505 NORTHSIDE BLVD, SUITE 4400, CUMMING, GA 30041(678) 513-8800(678) 513-8500 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2020, Sep 28, 2016 (2 updates tracked since 2016).

About Stephen E Martiny M.d. NPPES

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

STEPHEN E MARTINY M.D. (NPI 1528212602) is an individual family medicine provider in Cumming, Georgia, licensed in Georgia (62866) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1528212602
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN E MARTINYCredential: M.D.
Location Address1505 NORTHSIDE BLVD, SUITE 4400Cumming, GA 30041-7623
Mailing Address1505 Northside Blvd, Suite 4400Cumming, GA 30041-7623 · (678) 513-8800 · Fax (678) 513-8500
Phone(678) 513-8800
Fax(678) 513-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 16, 2008
Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1528212602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 62866✔ Licensed in OH · 35.092477
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.
1505 NORTHSIDE BLVD, Cumming, GA 30041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Stephen E Martiny 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 ID8022174291
PECOS Enrollment IDI20090818000468
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 8

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.
278 services140 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.
75 services75 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.
59 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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
6 suppliers12 claims52 services$6.08 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims840 services$4.87 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims900 services$0.04 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier14 claims840 services$0.82 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims495 services$0.16 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier14 claims14 services$26.10 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 20

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

KRISTIN GREGORY PA
Physician Assistant
1505 NORTHSIDE BLVD, SUITE 1500
CUMMING, GA 30041
Forsyth County (770) 781-5077
NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1505 NORTHSIDE BLVD, SUITE 2800
CUMMING, GA 30041
Forsyth County (678) 749-2131
CATALIN HARBUZARIU M.D.
Surgery (Vascular Surgery)
1505 NORTHSIDE BLVD, STE 2400
CUMMING, GA 30041
Forsyth County (770) 292-3490
DR. BYRON THOMAS COOK III MD
Ophthalmology
1505 NORTHSIDE BLVD, SUITE 1200
CUMMING, GA 30041
Forsyth County (678) 845-0466
DIGESTIVE CARE SPECIALIST, LLC
Internal Medicine (Gastroenterology)
1505 NORTHSIDE BLVD
CUMMING, GA 30041
Forsyth County (770) 227-2222
JAMES RONALD STEPHENS M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
1505 NORTHSIDE BLVD, SUITE 1300
CUMMING, GA 30041
Forsyth County (404) 686-2288
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
Durable Medical Equipment & Medical Supplies
1505 NORTHSIDE BLVD, SUITE 4300
CUMMING, GA 30041
Forsyth County (770) 205-1331
GEETHA REDDY SOODINI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1505 NORTHSIDE BLVD, SUITE 2800
CUMMING, GA 30041
Forsyth County (770) 886-3842

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 Martiny's NPI number?

The NPI number for Stephen Martiny is 1528212602. It was assigned to this individual provider in the NPPES registry on November 16, 2008.

Where is Stephen Martiny located?

Stephen Martiny practices at 1505 Northside Blvd Suite 4400, Cumming, GA 30041. The listed phone number is (678) 513-8800.

What is Stephen Martiny's specialty?

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

Is Stephen Martiny enrolled in Medicare?

Yes. Stephen Martiny 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 Stephen Martiny accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stephen Martiny 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 Martiny affiliated with any hospitals?

According to CMS data, Stephen Martiny is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Martiny was last updated on October 15, 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.