WALTER E. MARTIN M.D.
NPI 1619944600
Internal Medicine in Higganum, CT

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
415 KILLINGWORTH RD, HIGGANUM, CT 06441(860) 345-8535(860) 345-8678 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2022, May 4, 2021, Jan 28, 2021 and 2 more (5 updates tracked since 2019).

About Walter E. Martin M.d. NPPES

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

WALTER E. MARTIN M.D. (NPI 1619944600) is an individual internal medicine provider in Higganum, Connecticut, licensed in Connecticut (82557) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1619944600
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWALTER E. MARTINCredential: M.D.
Location Address415 KILLINGWORTH RDHigganum, CT 06441-4392
Mailing Address415 Killingworth RdHigganum, CT 06441-4392
Fax(860) 345-8678
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 28, 20255 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1619944600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 82557✔ Licensed in MT · 9605✔ Licensed in ME · MD21468✔ Licensed in PA · MD039667L✔ Licensed in FL · ME47497
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
415 KILLINGWORTH RD, Higganum, CT 06441

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Walter E. 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 ID5395658736
PECOS Enrollment IDI20250923000290
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Walter Martin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
Family Medicine
4229 OREGON PIKE
Ephrata, PA 17522
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
Hematology & Oncology
1575 HIGHLANDS DR STE 205
Lititz, PA 17543
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
Rural Health
37 PALMER ST
Calais, ME 04619
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Calais Regional Hospital
  • 14 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
903 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
102 services69 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
93 services42 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06441 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$119.14 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 12

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

Family Medicine
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Social Worker (Clinical)
415 KILLINGWORTH RD, SUITE 9A/B
HIGGANUM, CT 06441
Nurse Practitioner
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Nurse Practitioner (Family)
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Social Worker (Clinical)
415 KILLINGWORTH RD, SUITE # 9
HIGGANUM, CT 06441
Dentist (General Practice)
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Family Medicine
415 KILLINGWORTH RD
HIGGANUM, CT 06441
Family Medicine
415 KILLINGWORTH RD
HIGGANUM, CT 06441

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 Walter Martin's NPI number?

The NPI number for Walter Martin is 1619944600. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Walter Martin located?

Walter Martin practices at 415 Killingworth Rd, Higganum, CT 06441. The listed phone number is (860) 345-8535.

What is Walter Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Walter Martin enrolled in Medicare?

Yes. Walter 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.

Which organizations bill Medicare for Walter Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Martin reassigns Medicare benefits to 5 organizations: Prohealth Physicians PC (Farmington, CT), Pinnacle Health Medical Services (Ephrata, PA), Pinnacle Health Regional Physicians (Lititz, PA), Calais Community Hospital (Calais, ME) and Mercy Health System Corporation (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Walter Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Walter Martin was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.