DR. DOUGLAS M MARTIN D.O.
NPI 1922074277
Family Medicine in Winfield, AL

Q: What is Douglas Martin's NPI number?

The NPI number for Douglas Martin is 1922074277. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Douglas Martin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Martin was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 27, 2006PECOS Enrolled

84.56/100

CMS Quality Rating

1530 US HIGHWAY 43, WINFIELD, AL 35594(205) 487-7000(205) 487-7179 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Nov 2, 2022, Jul 30, 2019 (3 updates tracked since 2019).

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About Dr. Douglas M Martin D.o. NPPES

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

DR. DOUGLAS M MARTIN D.O. (NPI 1922074277) is an individual family medicine provider in Winfield, Alabama, licensed in Alabama (DO0995) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922074277

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DOUGLAS M MARTINCredential: D.O.

Location Address1530 US HIGHWAY 43Winfield, AL 35594-5056

Mailing Address1256 Military St SHamilton, AL 35570-5003 · (205) 921-6496 · Fax (205) 921-6390

Phone(205) 487-7000

Fax(205) 487-7179

Sole ProprietorNo

Enumeration DateFebruary 27, 2006

Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1922074277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AL · DO0995✔ Licensed in AL · DO.995

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License DO0995 (AL)

1530 US HIGHWAY 43, Winfield, AL 35594

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Secondary Practice Locations 2

Location 1200 Carraway Dr Ste 2Winfield, AL 35594-5073 · Phone (205) 487-7556 · Fax (205) 487-7559

Location 21390 Walnut StSulligent, AL 35586-3841 · Phone (205) 698-7111 · Fax (205) 698-0516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas M Martin D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

53 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35594 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

84.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.57

Improvement Activities

Cost

66.44

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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.

NORTHWEST MEDICAL CENTER-WINFIELD, LLC

Emergency Medicine (Emergency Medical Services)