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DR. TROY M MARTIN MD
NPI 1881679397
Internal Medicine - Infectious Disease in Seattle, WA

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
10631 EIGHTH AVENUE NORTHEAST, KINDRED HOSPITAL SEATTLE, SEATTLE, WA 98125(206) 361-7431(206) 361-7452 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Troy M Martin Md NPPES

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

DR. TROY M MARTIN MD (NPI 1881679397) is an individual infectious disease provider in Seattle, Washington, licensed in Washington (MD60002235) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1881679397
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. TROY M MARTINCredential: MD
Location Address10631 EIGHTH AVENUE NORTHEAST, KINDRED HOSPITAL SEATTLESeattle, WA 98125
Mailing AddressPo Box 50150Bellevue, WA 98015-0150 · (425) 228-5228 · Fax (425) 228-5733
Phone(206) 361-7431
Fax(206) 361-7452
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999
Enumeration DateDecember 8, 2005
Last NPPES UpdateJune 29, 2018
✔ NPI 1881679397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in WA · MD60002235✔ Licensed in RI · MD11639
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60002235 (WA)
10631 EIGHTH AVENUE NORTHEAST, Seattle, WA 98125
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Other Identifiers 2

Medicaid1881679397WA
Medicaid7057246RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.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. Troy M Martin Md 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 ID446202865
PECOS Enrollment IDI20081028000781
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
152 services148 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98125 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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 Troy Martin's NPI number?

The NPI number for Troy Martin is 1881679397. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Troy Martin located?

Troy Martin practices at 10631 Eighth Avenue Northeast Kindred Hospital Seattle, Seattle, WA 98125. The listed phone number is (206) 361-7431.

What is Troy Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Troy Martin enrolled in Medicare?

Yes. Troy 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 Troy Martin accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Troy 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 Troy Martin affiliated with any hospitals?

According to CMS data, Troy Martin is affiliated with Swedish Medical Center / Cherry Hill, Swedish Edmonds Hospital, Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Troy Martin was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.