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ANTHONY W. MARTIN JR. MD
NPI 1700046547
Family Medicine in Charlotte, NC

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2001 VAIL AVE, STE 400, CHARLOTTE, NC 28207(704) 304-7000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 56 more (59 updates tracked since 2018).

About Anthony W. Martin Jr. Md NPPES

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

ANTHONY W. MARTIN JR. MD (NPI 1700046547) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2011-01186) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1700046547
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY W. MARTIN JR.Credential: MD
Location Address2001 VAIL AVE, STE 400Charlotte, NC 28207-1248
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 304-7000
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2008
Enumeration DateJune 16, 2008
Last NPPES UpdateJuly 15, 202459 updates tracked since enumeration
✔ NPI 1700046547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2011-01186
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 2011-01186 (NC)
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 2011-01186 (NC)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2011-01186 (NC)
2001 VAIL AVE, Charlotte, NC 28207
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15651 Poplar Tent Rd, Ste 102Concord, NC 28027-7686 · Phone (704) 863-4878
Location 25735 Prosperity Crossing Dr, STE 2100Charlotte, NC 28269-1360 · Phone (704) 863-4878
Location 314214 Ballantyne Lake Rd, Ste 150Charlotte, NC 28277-3372 · Phone (704) 863-4878
Location 49726 Sam Furr RdHuntersville, NC 28078-8218 · Phone (704) 863-4878

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 and accepts Medicare assignment

Anthony 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 ID7911176706
PECOS Enrollment IDI20110811000898
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 9

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.
200 services37 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.
55 services21 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.
46 services36 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.
37 services29 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.
26 services19 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
3 suppliers12 claims12 services$116.89 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.

LESLIE KAY RUFFING ADCOCK MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
TAYLOR DEREK JOHNSON MD
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-5000
JENNIFER J CLINE PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5837
VISHALAKSHI KALYANA SUNDARAM MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
KRYSTENE LYNN HELGESON PA
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-6070
ESTHER REBECCA LANDIS HAYES MD
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000
SHENA S PATEL PT
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Mecklenburg County (704) 379-5632
DUPAL PATEL MD
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Mecklenburg County (704) 304-7000

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 Anthony Martin's NPI number?

The NPI number for Anthony Martin is 1700046547. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Anthony Martin located?

Anthony Martin practices at 2001 Vail Ave Ste 400, Charlotte, NC 28207. The listed phone number is (704) 304-7000.

What is Anthony Martin's specialty?

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

Is Anthony Martin enrolled in Medicare?

Yes. Anthony 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 Anthony Martin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Anthony 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 Anthony Martin affiliated with any hospitals?

According to CMS data, Anthony Martin is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Anthony Martin was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.