MARK R ST. MARTIN MD
NPI 1922069061
Internal Medicine in Novi, MI

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
26850 PROVIDENCE PKWY, SUITE 505, NOVI, MI 48374(248) 465-4163(248) 465-4359 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark R St. Martin Md NPPES

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

MARK R ST. MARTIN MD (NPI 1922069061) is an individual internal medicine provider in Novi, Michigan, licensed in Michigan (4301082441) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1922069061
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK R ST. MARTINCredential: MD
Location Address26850 PROVIDENCE PKWY, SUITE 505Novi, MI 48374-1209
Mailing Address26850 Providence Pkwy, Suite 505Novi, MI 48374-1209 · (248) 465-4163 · Fax (248) 465-4359
Fax(248) 465-4359
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 29, 2006
Last NPPES UpdateNovember 10, 2015
NPI 1922069061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301082441
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.

26850 PROVIDENCE PKWY, Novi, MI 48374

Other Identifiers 2

Medicare UPINI52324
Medicaid4883284MI

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

Mark R St. 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 ID7719998244
PECOS Enrollment IDI20060519000020
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 6

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.

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.
157 services157 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
114 services73 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
108 services75 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.
26 services25 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
17 services17 patients
Transitional care management services for problem of moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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
8 suppliers21 claims52 services$6.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 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 20

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

Obstetrics & Gynecology
26850 PROVIDENCE PKWY, 402
NOVI, MI 48374
Pediatrics
26850 PROVIDENCE PKWY
NOVI, MI 48374
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 505
NOVI, MI 48374
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Physician Assistant
26850 PROVIDENCE PKWY, SUITE 260
NOVI, MI 48374
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374

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 Mark St. Martin's NPI number?

The NPI number for Mark St. Martin is 1922069061. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Mark St. Martin located?

Mark St. Martin practices at 26850 Providence Pkwy Suite 505, Novi, MI 48374. The listed phone number is (248) 465-4163.

What is Mark St. Martin's specialty?

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

Is Mark St. Martin enrolled in Medicare?

Yes. Mark St. 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 Mark St. Martin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mark St. 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 Mark St. Martin affiliated with any hospitals?

According to CMS data, Mark St. Martin is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Mark St. Martin was last updated on November 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.