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SHELBY MARTIN MD
NPI 1881127637
Emergency Medicine in Louisville, KY

Active since April 08, 2017PECOS Enrolled
73.19/100
CMS Quality Rating
210 E GRAY ST STE 803, LOUISVILLE, KY 40202(502) 238-9462(502) 290-5632 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2025, Jul 29, 2024, Jun 20, 2023 and 1 more (4 updates tracked since 2023).

About Shelby Martin Md NPPES

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

SHELBY MARTIN MD (NPI 1881127637) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (58083) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Louisville School Of Medicine (2018).

NPPES Registry Identity

NPI1881127637
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSHELBY MARTINCredential: MD
Location Address210 E GRAY ST STE 803Louisville, KY 40202-3904
Mailing Address347 Chenoweth LnLouisville, KY 40207-2075 · (502) 921-1719
Phone(502) 238-9462
Fax(502) 290-5632
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
Enumeration DateApril 8, 2017
Last NPPES UpdateMay 31, 20254 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1881127637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 58083
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 58083 (KY)
210 E GRAY ST STE 803, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 Leestown Rd Ste 110Lexington, KY 40511-2071 · Phone (502) 657-2701 · Fax (502) 290-5632
Location 2201 Abraham Flexner Way Ste 1200Louisville, KY 40202-3841 · Phone (502) 587-4011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Martin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527462308
PECOS Enrollment IDI20230710001002
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 Shelby Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
Same address
Pediatric Endocrinology
210 E GRAY ST, SUITE 803
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1144586876 (502) 629-8821
Cleanslate Medical Group Of Kentucky PLLC
8.1 mi
Addiction Medicine
6801 DIXIE HWY STE 132
Louisville, KY 40258
  • Reassigned Medicare billing, Kentucky enrollment
  • 27 clinicians in this Medicare group
NPI 1538600630 (502) 657-2701
Oldham County Emergency Physicians, LLC
23 mi
Emergency Medicine
1025 NEW MOODY LN
La Grange, KY 40031
  • Reassigned Medicare billing, Kentucky enrollment
  • 77 clinicians in this Medicare group
NPI 1508726035 (502) 222-5388

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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services11 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES

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

GABRIELLE MILLER APRN
Nurse Practitioner (Family)
210 E GRAY ST STE 803
LOUISVILLE, KY 40202
Jefferson County (502) 238-9462

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 Shelby Martin's NPI number?

The NPI number for Shelby Martin is 1881127637. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Where is Shelby Martin located?

Shelby Martin practices at 210 E Gray St Ste 803, Louisville, KY 40202. The listed phone number is (502) 238-9462.

What is Shelby Martin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shelby Martin enrolled in Medicare?

Yes. Shelby Martin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelby Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Martin reassigns Medicare benefits to 3 organizations: University Of Louisville Physicians, Inc. (Louisville, KY), Cleanslate Medical Group Of Kentucky PLLC (Louisville, KY) and Oldham County Emergency Physicians, LLC (La Grange, KY). 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 Shelby Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Martin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Shelby 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.

When was this NPI record last updated?

The NPPES record for Shelby Martin was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.