JAMES MICHAEL MARTIN M.D.
NPI 1558708693
Internal Medicine - Hematology & Oncology in Cleveland, OH

Q: What is James Martin's NPI number?

The NPI number for James Martin is 1558708693. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is James Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for James Martin was last updated on January 7, 2021. 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.

Active since May 30, 2013PECOS EnrolledAccepts Medicare Assignment

79.48/100

CMS Quality Rating

11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-6031(216) 844-5234 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2021, Jul 14, 2020, Jun 13, 2019 and 1 more (4 updates tracked since 2016).

On this page

About James Michael Martin M.d. NPPES

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

JAMES MICHAEL MARTIN M.D. (NPI 1558708693) is an individual hematology & oncology provider in Cleveland, Ohio, licensed in Ohio (35.140028) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558708693

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJAMES MICHAEL MARTINCredential: M.D.

Location Address11100 EUCLID AVECleveland, OH 44106-1716

Mailing Address11100 Euclid AveCleveland, OH 44106-1716 · (216) 844-6031 · Fax (216) 844-5234

Phone(216) 844-6031

Fax(216) 844-5234

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 30, 2013

Last NPPES UpdateJanuary 7, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2021

✔ NPI 1558708693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in OH · 35.140028✔ Licensed in PA · MD457801

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

11100 EUCLID AVE, Cleveland, OH 44106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Insurance Corporation of Ohio.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

James Michael Martin 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 ID941420012

PECOS Enrollment IDI20260319001992

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.

111 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

107 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

31 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

79.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.51

Promoting Interoperability

100

Improvement Activities

Cost

63.09

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.

DR. YU HYON KIM MD

Ophthalmology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-3601

JENNIFER LYNN PARRY RN, CPNP

Nurse Practitioner (Pediatrics)

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5691

RAINBOW BABIES & CHILDREN'S HOSPITAL

General Acute Care Hospital (Children)

11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5261

DR. KA CHUN ALAN CHAN M.D

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHOR CHEUNG TAM M.D.

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 333-8948

DOMINIC CERCONE

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHRISTOPHER FELCHLIA MD

Anesthesiology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-2273

GABRIELLA MARGUERITE RUSTIA MD

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-8570

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 James Martin's NPI number?

The NPI number for James Martin is 1558708693. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is James Martin located?

James Martin practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-6031.

What is James Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is James Martin enrolled in Medicare?

Yes. James 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.

What insurance does James Martin accept?

Health plans from Molina Healthcare and Oscar Insurance Corporation of Ohio list James 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 James Martin affiliated with any hospitals?

According to CMS data, James Martin is affiliated with Nyu Langone Hospitals, Fairview Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for James Martin was last updated on January 7, 2021. 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.