MICHAEL ANTHONY MARTINELLI M.D.
NPI 1699119982
Internal Medicine in Canton, GA

Q: What is Michael Martinelli's NPI number?

The NPI number for Michael Martinelli is 1699119982. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Michael Martinelli's specialty?

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

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment

98.31/100

CMS Quality Rating

450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1388(770) 224-1386 Get Directions Write a Review

NPPES record last updated: March 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 20, 2021, Nov 9, 2020, May 10, 2016 (3 updates tracked since 2016).

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About Michael Anthony Martinelli M.d. NPPES

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

MICHAEL ANTHONY MARTINELLI M.D. (NPI 1699119982) is an individual internal medicine provider in Canton, Georgia, licensed in Georgia (86339) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains a secondary practice location in Danbury.

NPPES Registry Identity

NPI1699119982

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL ANTHONY MARTINELLICredential: M.D.

Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015

Mailing Address450 Northside Cherokee BlvdCanton, GA 30115-8015 · (770) 224-1000 · Fax (770) 224-2451

Phone(770) 224-1388

Fax(770) 224-1386

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 17, 2013

Last NPPES UpdateMarch 20, 20213 updates tracked since enumeration

NPPES CertifiedMarch 20, 2021

✔ NPI 1699119982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 86339✔ Licensed in CT · 054543

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.

Also ListedHospitalistTaxonomy 208M00000X · License 054543 (CT)

450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115

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Secondary Practice Location 1

Location 124 Hospital AveDanbury, CT 06810-6099 · Phone (203) 739-6959 · Fax (203) 739-6495

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

Michael Anthony Martinelli 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 ID1456658202

PECOS Enrollment IDI20201216003258

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

128 services127 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

91 services89 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

98.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.88

Improvement Activities

Cost

84.56

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

4 suppliers53 claims53 services$14.41 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

4 suppliers50 claims50 services$65.53 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 20

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

ERICA ADDISON AA-C

Anesthesiologist Assistant