MR. CALVIN W MARTIN JR. MD
NPI 1609862234
Family Medicine in Gainesville, FL

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
85.34/100
CMS Quality Rating
4343 W NEWBERRY RD, GAINESVILLE, FL 32607(352) 416-1082(352) 343-6144 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Calvin W Martin Jr. Md NPPES

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

MR. CALVIN W MARTIN JR. MD (NPI 1609862234) is an individual family medicine provider in Gainesville, Florida, licensed in Florida (ME72829) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1995).

NPPES Registry Identity

NPI1609862234
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. CALVIN W MARTIN JR.Credential: MD
Location Address4343 W NEWBERRY RDGainesville, FL 32607-2817
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 373-6338 · Fax (352) 373-6144
Fax(352) 343-6144
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1995
Enumeration DateSeptember 20, 2005
Last NPPES UpdateOctober 24, 2019
NPI 1609862234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME72829 Licensed in FL · ME 0072829
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.
4343 W NEWBERRY RD, Gainesville, FL 32607

Other Identifiers 1

Medicaid1010558500FL

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

Mr. Calvin W Martin Jr. 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 ID2961596622
PECOS Enrollment IDI20070926000204
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 31

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,450 services15 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.
552 services449 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.
173 services156 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.
97 services87 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
90 services86 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
71 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

85.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.89
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
15%40 patients1/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%235 patients
Breast Cancer Screening
6%652 patients1/55-star benchmark: 93%
Cervical Cancer Screening
5%729 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
7%1,249 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
78%654 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
14%311 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
35%310 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,084 patients4/55-star benchmark: 100%
e-Prescribing
99%1,160 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
74%756 patients3/55-star benchmark: 100%
HIV Screening
0%1,741 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%2,391 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%2,028 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%1,984 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 39% · 1,165 patients
Patients screened: 42% · 1,165 patients
51%68 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%719 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%631 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Massage Therapist
4343 W NEWBERRY RD, STE #4
GAINESVILLE, FL 32607
Physician Assistant
4343 W NEWBERRY RD, SUITE 10
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 12
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 8
GAINESVILLE, FL 32607
Obstetrics & Gynecology (Gynecology)
4343 W NEWBERRY RD, SUITE 16
GAINESVILLE, FL 32607
Hospitalist
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Family Medicine
4343 W NEWBERRY RD
GAINESVILLE, FL 32607

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 Calvin Martin's NPI number?

The NPI number for Calvin Martin is 1609862234. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Calvin Martin located?

Calvin Martin practices at 4343 W Newberry Rd, Gainesville, FL 32607. The listed phone number is (352) 416-1082.

What is Calvin Martin's specialty?

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

Is Calvin Martin enrolled in Medicare?

Yes. Calvin 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 Calvin Martin accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Calvin 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.

When was this NPI record last updated?

The NPPES record for Calvin Martin was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.