JEFFREY M. MARTIN
NPI 1942379573
Family Medicine in Sterling, VA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
46440 BENEDICT DR, SUITE 107, STERLING, VA 20164(703) 450-1125(703) 450-1145 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey M. Martin NPPES

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

JEFFREY M. MARTIN (NPI 1942379573) is an individual family medicine provider in Sterling, Virginia, licensed in Virginia (0101222441) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1998).

NPPES Registry Identity

NPI1942379573
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY M. MARTIN
Location Address46440 BENEDICT DR, SUITE 107Sterling, VA 20164-6602
Mailing AddressPo Box 17334Baltimore, MD 21297-1334 · (703) 443-6717 · Fax (703) 443-8643
Fax(703) 450-1145
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1998
Enumeration DateNovember 7, 2006
Last NPPES UpdateApril 27, 2011
NPI 1942379573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101222441
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.

46440 BENEDICT DR, Sterling, VA 20164

Other Identifiers 3

Medicaid1942379573VA
Medicare PINMC10264VA
Medicare UPINI08657VA

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

Jeffrey M. Martin 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 ID3678553328
PECOS Enrollment IDI20040722000997
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 26

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 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.
475 services315 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.
401 services248 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
190 services154 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
109 services91 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.
102 services90 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
101 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20164 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality85.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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 suppliers26 claims51 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims15 services$1.11 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.31 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,192 services$0.24 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims25 services$64.24 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 18

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

Pediatrics
46440 BENEDICT DR, STE 207
STERLING, VA 20164
Nurse Practitioner (Pediatrics)
46440 BENEDICT DR, STE 207
STERLING, VA 20164
Pediatrics
46440 BENEDICT DR, STE 207
STERLING, VA 20164
Pediatrics
46440 BENEDICT DR, STE 207
STERLING, VA 20164
Nurse Practitioner (Adult Health)
46440 BENEDICT DR, STE 208
STERLING, VA 20164
Chiropractor
46440 BENEDICT DR, STE 106
STERLING, VA 20164
Emergency Medicine
46440 BENEDICT DR, SUITE 107
STERLING, VA 20164
Clinical Medical Laboratory
46440 BENEDICT DR, SUITE 104
STERLING, VA 20164

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942379573, enumerated as an "individual" on November 07, 2006.

The provider is located at 46440 BENEDICT DR SUITE 107 STERLING, VA 20164 and the phone number is (703) 450-1125.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Jeffrey Martin is affiliated with: INOVA LOUDOUN HOSPITAL and RESTON HOSPITAL CENTER.