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DR. MARTHA J BRAID DMD
NPI 1609856251
Dentist - Pediatric Dentistry in Marion, IL

Active since January 19, 2006Opted out of Medicare · through Feb 26, 2027
2801 CIVIC CIRCLE BLVD STE 7, MARION, IL 62959(618) 998-9868(618) 998-9870 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Martha J Braid Dmd NPPES

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

DR. MARTHA J BRAID DMD (NPI 1609856251) is an individual pediatric dentistry provider in Marion, Illinois, licensed in Illinois (019-025903) and active in the NPI registry since January 2006. She has opted out of Medicare through February 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609856251
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARTHA J BRAIDCredential: DMD
Location Address2801 CIVIC CIRCLE BLVD STE 7Marion, IL 62959-5276
Mailing Address2801 Civic Circle Blvd Ste 7Marion, IL 62959-5276 · (618) 998-9868 · Fax (618) 998-9870
Phone(618) 998-9868
Fax(618) 998-9870
Sole ProprietorYes
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 30, 2021
NPPES CertifiedJuly 30, 2021
✔ NPI 1609856251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in IL · 019-025903✔ Licensed in TN · 008287
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2801 CIVIC CIRCLE BLVD STE 7, Marion, IL 62959
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Martha J Braid Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2017 through February 26, 2027.

Opt-Out Effective DateFebruary 26, 2017
Opt-Out In Effect ThroughFebruary 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Martha Braid's NPI number?

The NPI number for Martha Braid is 1609856251. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Martha Braid located?

Martha Braid practices at 2801 Civic Circle Blvd Ste 7, Marion, IL 62959. The listed phone number is (618) 998-9868.

What is Martha Braid's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Martha Braid enrolled in Medicare?

No. Martha Braid has opted out of Medicare through February 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Martha Braid accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Martha Braid 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.

When was this NPI record last updated?

The NPPES record for Martha Braid was last updated on July 30, 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.