DR. MARTY THOMAS MERTENS M.D.
NPI 1558555896
Internal Medicine - Rheumatology in Woodbury, MN

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
4040 RADIO DR, WOODBURY, MN 55129(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Marty Thomas Mertens M.d. NPPES

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

DR. MARTY THOMAS MERTENS M.D. (NPI 1558555896) is an individual rheumatology provider in Woodbury, Minnesota, licensed in Minnesota (53102) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2007).

NPPES Registry Identity

NPI1558555896
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MARTY THOMAS MERTENSCredential: M.D.
Location Address4040 RADIO DRWoodbury, MN 55129-3237
Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600
Fax(651) 439-0232
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2007
Enumeration DateAugust 29, 2007
Last NPPES UpdateMay 25, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1558555896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in MN · 53102✔ Licensed in WI · 74742-20
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4040 RADIO DR, Woodbury, MN 55129

Accepted 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

Dr. Marty Thomas Mertens 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 ID6406019587
PECOS Enrollment IDI20120530000297, I20210312001861
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 20

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.

Injection, infliximab-abda, biosimilar, (renflexis), 10 mg Q5104
Infliximab-abda (Renflexis) is a biosimilar medication given via injection. It's used to treat certain autoimmune conditions by reducing inflammation and immune system activity. The dosage is 10 mg.
660 services13 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
580 services13 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.
232 services106 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
224 services90 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.
162 services103 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
125 services62 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55129 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Physician Assistant
4040 RADIO DR
WOODBURY, MN 55129
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4040 RADIO DR
WOODBURY, MN 55129
Internal Medicine (Rheumatology)
4040 RADIO DR
WOODBURY, MN 55129
Nurse Practitioner (Family)
4040 RADIO DR
WOODBURY, MN 55129
Physical Therapist
4040 RADIO DR
WOODBURY, MN 55129
Physical Therapist
4040 RADIO DR
WOODBURY, MN 55129
Internal Medicine (Rheumatology)
4040 RADIO DR
WOODBURY, MN 55129
Physical Therapist
4040 RADIO DR
WOODBURY, MN 55129

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 Marty Mertens's NPI number?

The NPI number for Marty Mertens is 1558555896. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Marty Mertens located?

Marty Mertens practices at 4040 Radio Dr, Woodbury, MN 55129. The listed phone number is (651) 439-8807.

What is Marty Mertens's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Marty Mertens enrolled in Medicare?

Yes. Marty Mertens 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 Marty Mertens accept?

Health plans from HealthPartners and Medica list Marty Mertens 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 Marty Mertens affiliated with any hospitals?

According to CMS data, Marty Mertens is affiliated with Lakeview Memorial Hospital, M Health Fairview University Of Mn and Amery Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Marty Mertens was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.