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DR. KENNETH LYLE MARTIN M.D.
NPI 1902875016
Internal Medicine in Tigard, OR

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
90.13/100
CMS Quality Rating
15298 SW ROYALTY PKWY, TIGARD, OR 97224(503) 620-0721(503) 968-1181 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Lyle Martin M.d. NPPES

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

DR. KENNETH LYLE MARTIN M.D. (NPI 1902875016) is an individual internal medicine provider in Tigard, Oregon, licensed in Oregon (10582) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and is a graduate of University Of Washington School Of Medicine (1972).

NPPES Registry Identity

NPI1902875016
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH LYLE MARTINCredential: M.D.
Location Address15298 SW ROYALTY PKWYTigard, OR 97224-3904
Mailing Address15298 Sw Royalty PkwyTigard, OR 97224-3904 · (503) 620-0721 · Fax (503) 968-1181
Phone(503) 620-0721
Fax(503) 968-1181
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1972
Enumeration DateMarch 14, 2006
Last NPPES UpdateFebruary 14, 2011
✔ NPI 1902875016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · 10582
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.
15298 SW ROYALTY PKWY, Tigard, OR 97224
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Other Identifiers 3

Medicare UPINC91473OR
Medicare ID-Type Unspecified115939OR
Medicaid167387OR

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. Kenneth Lyle Martin M.d. 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 ID2163615154
PECOS Enrollment IDI20101022000524
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 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.
170 services128 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.
21 services20 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97224 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.57
Promoting Interoperability100
Improvement Activities40
Cost70.53

Other Providers at the Same Location NPPES 7

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

SAMANTHA LE OD
Optometrist
15298 SW ROYALTY PKWY
TIGARD, OR 97224
Washington County (503) 227-2020
MCKAYLA CARMEAN-HULS
Behavior Analyst
15298 SW ROYALTY PKWY
TIGARD, OR 97224
Washington County (971) 256-4047
DR. THOMAS MARION EBERLE M.D.
Internal Medicine
15298 SW ROYALTY PKWY
TIGARD, OR 97224
Washington County (503) 620-0721
DR. BROOKE MORRIS HARKNESS O.D.
Optometrist (Corneal and Contact Management)
15298 SW ROYALTY PKWY
TIGARD, OR 97224
Washington County (503) 227-2020
DR. VISHNU MOHAN M.D.
Internal Medicine
15298 SW ROYALTY PKWY
TIGARD, OR 97224
Washington County (503) 620-0721
EYE HEALTH NORTHWEST P.C.
Ophthalmology
15298 SW ROYALTY PKWY
TIGARD, OR 97224
Washington County (503) 620-4070
KATELYN ROSE MARELICH
Behavior Analyst
15298 SW ROYALTY PKWY
TIGARD, OR 97224
Washington County (971) 256-4050

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 Kenneth Martin's NPI number?

The NPI number for Kenneth Martin is 1902875016. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Kenneth Martin located?

Kenneth Martin practices at 15298 SW Royalty Pkwy, Tigard, OR 97224. The listed phone number is (503) 620-0721.

What is Kenneth Martin's specialty?

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

Is Kenneth Martin enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Martin affiliated with any hospitals?

According to CMS data, Kenneth Martin is affiliated with Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Martin was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.