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MR. MARTIN J FIALA MD
NPI 1619961976
Orthopaedic Surgery in Tullahoma, TN

Active since September 01, 2005PECOS Enrolled
1816 N WASHINGTON ST, SUITE 100, TULLAHOMA, TN 37388(931) 455-8676(931) 455-9983 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Martin J Fiala Md NPPES

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

MR. MARTIN J FIALA MD (NPI 1619961976) is an individual orthopaedic surgery provider in Tullahoma, Tennessee, licensed in Tennessee (MD26680) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619961976
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. MARTIN J FIALACredential: MD
Location Address1816 N WASHINGTON ST, SUITE 100Tullahoma, TN 37388-2222
Mailing Address1816 N Washington St, Suite 100Tullahoma, TN 37388-2222 · (931) 455-8676 · Fax (931) 455-9983
Phone(931) 455-8676
Fax(931) 455-9983
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateApril 7, 2011
✔ NPI 1619961976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · MD26680
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MD26680 (TN)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License MD26680 (TN)
1816 N WASHINGTON ST, Tullahoma, TN 37388
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Other Identifiers 12

Other0940299United Health Care
Other682362Aetna
Other1536928Umwa
Other3093522TN · Blue Cross
Other621738887002Prudential
Medicare UPING23500
Medicaid3098802TN
Other200034386Railroad Medicare
OtherTN0102TN · Americhoice
Medicare UPIN3098803
Other10070490TN · Amerigroup
Other5541521Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Martin J Fiala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
126 services40 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.
117 services71 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
70 services45 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.
67 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
59 services40 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.
50 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers17 claims17 services$109.45 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 5

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

PLATINUM PHYSICAL THERAPY, LLC
Physical Therapist
1816 N WASHINGTON ST, SUITE 101
TULLAHOMA, TN 37388
Coffee County (931) 393-2378
MARY P WALKER PT
Physical Therapist
1816 N WASHINGTON ST, SUITE 101
TULLAHOMA, TN 37388
Coffee County (931) 393-2378
JAMIE ALLISON WORD PT
Physical Therapist
1816 N WASHINGTON ST, SUITE 101
TULLAHOMA, TN 37388
Coffee County (931) 393-2378
TULLAHOMA ORTHOPAEDICS & SPORTS MEDICINE PLLC
Orthopaedic Surgery
1816 N WASHINGTON ST, SUITE 100
TULLAHOMA, TN 37388
Coffee County (931) 455-8676
DR. JAMES WALTON GEORGE M.D.
Anesthesiology (Pain Medicine)
1816 N WASHINGTON ST, STE 103
TULLAHOMA, TN 37388
Coffee County (931) 454-9810

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 Martin Fiala's NPI number?

The NPI number for Martin Fiala is 1619961976. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Martin Fiala located?

Martin Fiala practices at 1816 N Washington St Suite 100, Tullahoma, TN 37388. The listed phone number is (931) 455-8676.

What is Martin Fiala's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Martin Fiala enrolled in Medicare?

Yes. Martin Fiala is registered in the Medicare PECOS enrollment system.

What insurance does Martin Fiala accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Martin Fiala 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 Martin Fiala was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.