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BRENDA ANN MARTIN M.D.
NPI 1821255621
Obstetrics & Gynecology - Gynecology in West Babylon, NY

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
580 SUNRISE HWY, WEST BABYLON, NY 11704(631) 422-9355(631) 669-8763 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 7, 2024, Jun 26, 2018 (2 updates tracked since 2018).

About Brenda Ann Martin M.d. NPPES

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

BRENDA ANN MARTIN M.D. (NPI 1821255621) is an individual gynecology provider in West Babylon, New York, licensed in New York (320354) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1821255621
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameBRENDA ANN MARTINCredential: M.D.
Location Address580 SUNRISE HWYWest Babylon, NY 11704-6000
Mailing Address580 Sunrise HwyWest Babylon, NY 11704-6000 · (631) 422-9355 · Fax (631) 669-8763
Phone(631) 422-9355
Fax(631) 669-8763
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 20, 2008
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1821255621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 320354
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 4036 (AZ), LP00744 (RI)
580 SUNRISE HWY, West Babylon, NY 11704
Open in Google Maps ↗

Other Identifiers 1

Medicaid370950AZ

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

Brenda Ann Martin 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 ID5193891158
PECOS Enrollment IDI20230413000432
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
31 services31 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.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 13

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

CORY A. MUSCARA, M.D., P.C.
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 422-9355
SADIA SAAD
Internal Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 447-8300
REBECCA LEIBOWITZ PA
Physician Assistant (Medical)
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (917) 396-2825
WINTHROP COMMUNITY MEDICAL AFFILIATES, PC
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 422-9355
HSIN DAT LI DO
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 422-9355
DR. JASMINE PHILIP D.O.
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 422-9355
DR. LAURA CORSELLO M.D.
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 422-9355
DR. JACK NASS M.D.
Psychiatry & Neurology (Psychiatry)
580 SUNRISE HWY
WEST BABYLON, NY 11704
Suffolk County (631) 321-7697

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 Brenda Martin's NPI number?

The NPI number for Brenda Martin is 1821255621. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Brenda Martin located?

Brenda Martin practices at 580 Sunrise Hwy, West Babylon, NY 11704. The listed phone number is (631) 422-9355.

What is Brenda Martin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Brenda Martin enrolled in Medicare?

Yes. Brenda 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.

When was this NPI record last updated?

The NPPES record for Brenda Martin was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.