DR. RICHARD KYLE MACIVER MARTIN MD, FRCSC
NPI 1902381148
Orthopaedic Surgery - Sports Medicine in Saint Cloud, MN

Active since October 02, 2018PECOS EnrolledAccepts Medicare Assignment
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303(320) 253-2663 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Aug 10, 2021, Oct 2, 2018 (3 updates tracked since 2018).

About Dr. Richard Kyle Maciver Martin Md, Frcsc NPPES

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

DR. RICHARD KYLE MACIVER MARTIN MD, FRCSC (NPI 1902381148) is an individual sports medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (63139) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902381148
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. RICHARD KYLE MACIVER MARTINCredential: MD, FRCSC
Location Address1900 CENTRACARE CIRSaint Cloud, MN 56303-5000
Mailing Address1900 Centracare CirSaint Cloud, MN 56303-5000 · (320) 253-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 2, 2018
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1902381148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in MN · 63139
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1900 CENTRACARE CIR, Saint Cloud, MN 56303

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. Richard Kyle Maciver Martin Md, Frcsc 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 ID9133472673
PECOS Enrollment IDI20181030001616
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

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 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 services15 patients

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

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.

Internal Medicine (Gastroenterology)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Physician Assistant
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Internal Medicine
1900 CENTRACARE CIR, SUITE 2400
SAINT CLOUD, MN 56303
Psychologist (Clinical Child & Adolescent)
1900 CENTRACARE CIR, SUITE 1325
SAINT CLOUD, MN 56303
Pharmacist
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Physician Assistant (Medical)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Genetic Counselor, MS
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

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 Richard Kyle Martin's NPI number?

The NPI number for Richard Kyle Martin is 1902381148. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Richard Kyle Martin located?

Richard Kyle Martin practices at 1900 Centracare Cir, Saint Cloud, MN 56303. The listed phone number is (320) 253-2663.

What is Richard Kyle Martin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Richard Kyle Martin enrolled in Medicare?

Yes. Richard Kyle 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 Richard Kyle Martin accept?

Health plans from Medica and Sanford Health Plan list Richard Kyle 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 Richard Kyle Martin affiliated with any hospitals?

According to CMS data, Richard Kyle Martin is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Richard Kyle Martin was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.