DR. BARRY DON MARTIN M.D.
NPI 1841258225
Plastic Surgery in Sioux Falls, SD

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
6215 S CLIFF AVE, SUITE 110, SIOUX FALLS, SD 57108(605) 322-4130(605) 322-4131 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Barry Don Martin M.d. NPPES

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

DR. BARRY DON MARTIN M.D. (NPI 1841258225) is an individual plastic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (9664) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of University Of Arkansas College Of Medicine (1992).

NPPES Registry Identity

NPI1841258225
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. BARRY DON MARTINCredential: M.D.
Location Address6215 S CLIFF AVE, SUITE 110Sioux Falls, SD 57108-8596
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4901
Fax(605) 322-4131
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1992
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 11, 2016
NPI 1841258225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in SD · 9664
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

6215 S CLIFF AVE, Sioux Falls, SD 57108

Accepted 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

Dr. Barry Don 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 ID9638398647
PECOS Enrollment IDI20160330001945
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 7

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 straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
37 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services32 patients
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.
30 services30 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.
18 services18 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.
17 services17 patients
Breast reduction 19318
Breast reduction is a surgical procedure that reduces the size of your chest area to alleviate discomfort or achieve a desired appearance. It involves removing excess tissue and reshaping the remaining area. It can help with issues like back pain, skin irritation, and posture problems.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

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.

Family Medicine
6215 S CLIFF AVE
SIOUX FALLS, SD 57108
Pediatrics
6215 S CLIFF AVE
SIOUX FALLS, SD 57108
Physician Assistant
6215 S CLIFF AVE
SIOUX FALLS, SD 57108
Physician Assistant
6215 S CLIFF AVE
SIOUX FALLS, SD 57108
Family Medicine
6215 S CLIFF AVE
SIOUX FALLS, SD 57108
Family Medicine
6215 S CLIFF AVE
SIOUX FALLS, SD 57108
Family Medicine
6215 S CLIFF AVE
SIOUX FALLS, SD 57108
Family Medicine
6215 S CLIFF AVE
SIOUX FALLS, SD 57108

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 Barry Martin's NPI number?

The NPI number for Barry Martin is 1841258225. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Barry Martin located?

Barry Martin practices at 6215 S Cliff Ave Suite 110, Sioux Falls, SD 57108. The listed phone number is (605) 322-4130.

What is Barry Martin's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Barry Martin enrolled in Medicare?

Yes. Barry 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 Barry Martin accept?

Health plans from Avera Health Plans and Medica list Barry 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 Barry Martin affiliated with any hospitals?

According to CMS data, Barry Martin is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Barry Martin was last updated on March 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.