DR. MICHAEL J. MARTINELLI M.D.
NPI 1821096983
Internal Medicine - Interventional Cardiology in Albany, NY

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
2 PALISADES DR, ALBANY, NY 12205(518) 458-2000(518) 458-1524 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2019, Mar 14, 2018 (2 updates tracked since 2018).

About Dr. Michael J. Martinelli M.d. NPPES

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

DR. MICHAEL J. MARTINELLI M.D. (NPI 1821096983) is an individual interventional cardiology provider in Albany, New York, licensed in New York (192982) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Gettysburg Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1821096983
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. MICHAEL J. MARTINELLICredential: M.D.
Location Address2 PALISADES DRAlbany, NY 12205
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Fax(518) 458-1524
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 12, 2005
Last NPPES UpdateJune 6, 20192 updates tracked since enumeration
NPI 1821096983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NY · 192982
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 192982 (NY)
2 PALISADES DR, Albany, NY 12205

Other Identifiers 2

Medicaid01504085NY
Medicaid1004609VT

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. Michael J. 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 ID4284609454
PECOS Enrollment IDI20211108000130
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

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.
100%1,681 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%2,740 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%307 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%1,312 patients4/55-star benchmark: 97%
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…
89%1,328 patients4/55-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: 98% · 245 patients
Patients tobacco: 100% · 31 patients
96%245 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%1,311 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%1,311 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%1,311 patients
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 20

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

Internal Medicine (Cardiovascular Disease)
2 PALISADES DR
ALBANY, NY 12205
Nurse Practitioner (Acute Care)
2 PALISADES DR
ALBANY, NY 12205
Nurse Practitioner (Family)
2 PALISADES DR
ALBANY, NY 12205
Physician Assistant (Medical)
2 PALISADES DR
ALBANY, NY 12205
Internal Medicine (Clinical Cardiac Electrophysiology)
2 PALISADES DR
ALBANY, NY 12205
Internal Medicine (Cardiovascular Disease)
2 PALISADES DR
ALBANY, NY 12205
Student in an Organized Health Care Education/Training Program
2 PALISADES DR
ALBANY, NY 12205
Nurse Practitioner (Adult Health)
2 PALISADES DR
ALBANY, NY 12205

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 Michael Martinelli's NPI number?

The NPI number for Michael Martinelli is 1821096983. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Michael Martinelli located?

Michael Martinelli practices at 2 Palisades Dr, Albany, NY 12205. The listed phone number is (518) 458-2000.

What is Michael Martinelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Michael Martinelli enrolled in Medicare?

Yes. Michael Martinelli 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.

Is Michael Martinelli affiliated with any hospitals?

According to CMS data, Michael Martinelli is affiliated with Gettysburg Hospital.

When was this NPI record last updated?

The NPPES record for Michael Martinelli was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.