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MARTIN T REILLY DO
NPI 1780680520
Orthopaedic Surgery in Enid, OK

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
83.21/100
CMS Quality Rating
401 E OKLAHOMA AVE, SUITE A, ENID, OK 73701(580) 242-5700(580) 242-5712 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Martin T Reilly Do NPPES

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

MARTIN T REILLY DO (NPI 1780680520) is an individual orthopaedic surgery provider in Enid, Oklahoma, licensed in Oklahoma (4135) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Salina Regional Health Center, and maintains a secondary practice location in Salina.

NPPES Registry Identity

NPI1780680520
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARTIN T REILLYCredential: DO
Location Address401 E OKLAHOMA AVE, SUITE AEnid, OK 73701-5800
Mailing AddressDept 960315Oklahoma City, OK 73196-0315 · (580) 548-1367 · Fax (580) 548-1583
Phone(580) 242-5700
Fax(580) 242-5712
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1999
Enumeration DateJune 27, 2005
Last NPPES UpdateMay 30, 2008
✔ NPI 1780680520 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 OK · 4135
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 ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 4135 (OK)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 4135 (OK)
401 E OKLAHOMA AVE, Enid, OK 73701
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Other Names 1

Other Name (5)M Todd Reilly Do

Secondary Practice Location 1

Location 1400 S Santa Fe AveSalina, KS 67401-4144 · Phone (785) 452-7366 · Fax (785) 452-7354

Other Identifiers 5

Medicare UPINI07126OK
Medicare PINP00142429OK
Medicaid200025140AOK
Medicare PIN249418201OK
Medicare PIN246727102OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin T Reilly Do 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 ID1557347101
PECOS Enrollment IDI20190315000678
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.

Medicare Billing Reassignment

Medicare enrollment records show Martin Reilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salina Regional Health Center, Inc.
167 mi
Urgent Care
2265 S 9TH ST
Salina, KS 67401
  • Reassigned Medicare billing, Kansas enrollment
  • 220 clinicians in this Medicare group
NPI 1336513274 (785) 452-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 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.
101 services79 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.
58 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services14 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
33 services33 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.
30 services26 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Salina Regional Health Center

Acute Care Hospitals · Salina, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170012
Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County
Emergency services Birthing friendly

Mcpherson Hospital

Acute Care Hospitals · Mcpherson, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number170105
Location1000 Hospital DriveMcpherson, KS 67460 · Mcpherson County
Emergency services Birthing friendly

Ottawa County Health Center

Critical Access Hospitals · Minneapolis, KS
OwnershipVoluntary non-profit - Other
CMS Certification Number171328
Location215 E 8th StreetMinneapolis, KS 67467 · Ottawa County
Emergency services

Lindsborg Community Hospital

Critical Access Hospitals · Lindsborg, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171358
Location605 W Lincoln StreetLindsborg, KS 67456 · Mcpherson County
Emergency services

Memorial Hospital

Critical Access Hospitals · Abilene, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171381
Location511 NE 10th StAbilene, KS 67410 · Dickinson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

83.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost55.5

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,166 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%868 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 306 patients
Patients tobacco: 4% · 25 patients
78%306 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

PULMONOLOGY ASSOCIATES OF ENID
Internal Medicine (Pulmonary Disease)
401 E OKLAHOMA AVE, SUITE A
ENID, OK 73701
Garfield County (580) 234-5155
INTEGRIS RURAL HEALTH INC
Internal Medicine
401 E OKLAHOMA AVE, STE A
ENID, OK 73701
Garfield County (580) 233-4353
JOHN C OGLE DO PC
Family Medicine
401 E OKLAHOMA AVE, STE A
ENID, OK 73701
Garfield County (580) 233-4353
ROBERT JOSEPH BRECKENRIDGE D.O.
Internal Medicine
401 E OKLAHOMA AVE
ENID, OK 73701
Garfield County (580) 233-4300

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 Reilly's NPI number?

The NPI number for Martin Reilly is 1780680520. It was assigned to this individual provider in the NPPES registry on June 27, 2005. The provider is also known as M Todd Reilly Do.

Where is Martin Reilly located?

Martin Reilly practices at 401 E Oklahoma Ave Suite A, Enid, OK 73701. The listed phone number is (580) 242-5700.

What is Martin Reilly's specialty?

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

Is Martin Reilly enrolled in Medicare?

Yes. Martin Reilly 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.

Which organization bills Medicare for Martin Reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Reilly reassigns Medicare benefits to Salina Regional Health Center, Inc. (Salina, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Reilly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Martin Reilly 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 Martin Reilly affiliated with any hospitals?

According to CMS data, Martin Reilly is affiliated with Salina Regional Health Center, Mcpherson Hospital, Ottawa County Health Center, Lindsborg Community Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Martin Reilly was last updated on May 30, 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.