GERALD S MARTIN NP
NPI 1770014748
Nurse Practitioner - Family in Carbondale, IL

Q: What is Gerald Martin's NPI number?

The NPI number for Gerald Martin is 1770014748. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Gerald Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Martin was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment

404 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9200(618) 549-1288 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2022, Nov 2, 2020, Mar 22, 2017 (3 updates tracked since 2017).

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About Gerald S Martin Np NPPES

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

GERALD S MARTIN NP (NPI 1770014748) is an individual family provider in Carbondale, Illinois, licensed in Illinois (209015754) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770014748

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGERALD S MARTINCredential: NP

Location Address404 S LEWIS LNCarbondale, IL 62901-3547

Mailing Address109 California St, Po Box 577Carterville, IL 62918 · (618) 519-9200

Phone(618) 519-9200

Fax(618) 549-1288

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 22, 2017

Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2022

✔ NPI 1770014748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209015754

404 S LEWIS LN, Carbondale, IL 62901

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Other Identifiers 1

Other214881IL · Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Gerald S Martin Np 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 ID5799060158

PECOS Enrollment IDI20170327001444

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 6

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

6 suppliers40 claims115 services$6.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims60 services$2.76 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$12.99 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers23 claims23 services$46.60 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

3 suppliers19 claims19 services$119.52 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

GERALD R CAMERON PA-C

Physician Assistant