DR. WILLIAM H. ST. MARTIN MD
NPI 1629004601
Family Medicine in Houma, LA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
818 VERRET STREET, HOUMA, LA 70360(985) 857-8001(985) 857-8330 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William H. St. Martin Md NPPES

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

DR. WILLIAM H. ST. MARTIN MD (NPI 1629004601) is an individual family medicine provider in Houma, Louisiana, licensed in Louisiana (021376) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and is a graduate of University Of Alabama School Of Medicine (1994).

NPPES Registry Identity

NPI1629004601
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM H. ST. MARTINCredential: MD
Location Address818 VERRET STREETHouma, LA 70360
Mailing Address818 Verret StreetHouma, LA 70360 · (985) 857-8001 · Fax (985) 857-8330
Fax(985) 857-8330
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1994
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 31, 2008
NPI 1629004601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 021376
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.
818 VERRET STREET, Houma, LA 70360

Other Identifiers 2

Medicare UPINF36423
Medicare ID-Type Unspecified5U231

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

Dr. William H. St. Martin 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 ID143119073
PECOS Enrollment IDI20100824000252
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 19

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.
398 services183 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.
312 services166 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
203 services123 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
179 services112 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.
177 services118 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.
163 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190008
Location8166 Main StreetHouma, LA 70360 · Terrebonne County
Emergency services Birthing friendly

Physicians Medical Center

Acute Care Hospitals · Houma, LA
OwnershipPhysician
CMS Certification Number190241
Location218 Corporate DriveHouma, LA 70360 · Terrebonne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70360 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers75 claims124 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers28 claims29 services$1.05 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier17 claims34 services$1.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers20 claims96 services$17.88 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers18 claims68 services$15.56 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers32 claims32 services$56.88 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 2

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

Family Medicine
818 VERRET STREET
HOUMA, LA 70360
Family Medicine
818 VERRET STREET
HOUMA, LA 70360

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 William St. Martin's NPI number?

The NPI number for William St. Martin is 1629004601. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is William St. Martin located?

William St. Martin practices at 818 Verret Street, Houma, LA 70360. The listed phone number is (985) 857-8001.

What is William St. Martin's specialty?

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

Is William St. Martin enrolled in Medicare?

Yes. William St. 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 William St. Martin accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list William St. 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 William St. Martin affiliated with any hospitals?

According to CMS data, William St. Martin is affiliated with Terrebonne General Medical Center - Parish and Physicians Medical Center.

When was this NPI record last updated?

The NPPES record for William St. Martin was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.