Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL JOHN MARTIN DO
NPI 1861885592
Family Medicine in Hamburg, PA

Active since March 05, 2015PECOS EnrolledAccepts Medicare Assignment
700 HAWK RIDGE DR, HAMBURG, PA 19526(610) 562-3066 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Aug 5, 2026, Sep 10, 2024 and 2 more (5 updates tracked since 2019).

About Michael John Martin Do NPPES

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

MICHAEL JOHN MARTIN DO (NPI 1861885592) is an individual family medicine provider in Hamburg, Pennsylvania, licensed in Pennsylvania (OS026003) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth O'bleness Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2015).

NPPES Registry Identity

NPI1861885592
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL JOHN MARTINCredential: DO
Location Address700 HAWK RIDGE DRHamburg, PA 19526-9219
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2015
Enumeration DateMarch 5, 2015
Last NPPES UpdateSeptember 28, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1861885592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS026003✔ Licensed in OH · 34.014281
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 34.014281 (OH)
700 HAWK RIDGE DR, Hamburg, PA 19526

Other Identifiers 1

Medicaid0410849OH

Accepted 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

Michael John Martin 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 ID9638425663
PECOS Enrollment IDI20200721003436
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 Reassignments

3

Medicare enrollment records show Michael Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
521 WASHINGTON AVE
Chestertown, MD 21620
  • Reassigned Medicare billing, Maryland enrollment
  • 794 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
Urgent Care
6905 HOSPITAL DR STE 130
Dublin, OH 43016
  • Reassigned Medicare billing, Ohio enrollment
  • 388 clinicians in this Medicare group

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 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.

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.
73 services60 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.
23 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19526 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Student in an Organized Health Care Education/Training Program
700 HAWK RIDGE DR
HAMBURG, PA 19526
General Practice
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526
Family Medicine
700 HAWK RIDGE DR
HAMBURG, PA 19526

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 Martin's NPI number?

The NPI number for Michael Martin is 1861885592. It was assigned to this individual provider in the NPPES registry on March 5, 2015.

Where is Michael Martin located?

Michael Martin practices at 700 Hawk Ridge Dr, Hamburg, PA 19526. The listed phone number is (610) 562-3066.

What is Michael Martin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Martin enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Martin reassigns Medicare benefits to 3 organizations: Luminis Health Medical Group, LLC (Chestertown, MD), Ohiohealth Corporation (Columbus, OH) and Ohiohealth Urgent Care LLC (Dublin, OH). Each 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 Michael Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Martin accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Michael 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 Michael Martin affiliated with any hospitals?

According to CMS data, Michael Martin is affiliated with Ohiohealth O'bleness Hospital.

When was this NPI record last updated?

The NPPES record for Michael Martin was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.