DR. MONICA K MARTIN MD
NPI 1881693315
Internal Medicine in Downers Grove, IL

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
3743 HIGHLAND AVE STE 1001, DOWNERS GROVE, IL 60515(630) 963-9667 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2025, Dec 19, 2021 (2 updates tracked since 2021).

About Dr. Monica K Martin Md NPPES

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

DR. MONICA K MARTIN MD (NPI 1881693315) is an individual internal medicine provider in Downers Grove, Illinois, licensed in Illinois (036081332) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and maintains a secondary practice location in Downers Grove.

NPPES Registry Identity

NPI1881693315
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MONICA K MARTINCredential: MD
Location Address3743 HIGHLAND AVE STE 1001Downers Grove, IL 60515-1594
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1988
Enumeration DateJuly 18, 2005
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1881693315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036081332
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3743 HIGHLAND AVE STE 1001, Downers Grove, IL 60515

Secondary Practice Location 1

Location 13825 Highland Ave, Suite 5BDowners Grove, IL 60515-1552 · Phone (630) 963-9667 · Fax (630) 963-9936

Other Identifiers 1

Medicaid036081332IL

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. Monica K 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 ID6901936830
PECOS Enrollment IDI20100618000703
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 13

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.
204 services166 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.
198 services148 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.
176 services176 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
104 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services87 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
81 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers68 claims197 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers24 claims34 services$0.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Internal Medicine
3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515
Dietitian, Registered
3743 HIGHLAND AVE STE 1001, DUPAGE MEDICAL GROUP
DOWNERS GROVE, IL 60515
Internal Medicine
3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515
Obstetrics & Gynecology
3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515
Family Medicine
3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515

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 Monica Martin's NPI number?

The NPI number for Monica Martin is 1881693315. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Monica Martin located?

Monica Martin practices at 3743 Highland Ave Ste 1001, Downers Grove, IL 60515. The listed phone number is (630) 963-9667.

What is Monica Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monica Martin enrolled in Medicare?

Yes. Monica 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 Monica Martin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Monica 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 Monica Martin affiliated with any hospitals?

According to CMS data, Monica Martin is affiliated with Loyola University Medical Center and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Monica Martin was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.