DR. MICHAEL J MARTIN M.D.
NPI 1962415513
Psychiatry & Neurology - Psychiatry in Plainfield, IL

Q: What is Michael Martin's NPI number?

The NPI number for Michael Martin is 1962415513. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Michael Martin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Michael Martin was last updated on November 23, 2010. 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.

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment

91.35/100

CMS Quality Rating

24600 W. 127TH ST, STE B325, PLAINFIELD, IL 60585(815) 731-9100(815) 731-9110 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Michael J Martin M.d. NPPES

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

DR. MICHAEL J MARTIN M.D. (NPI 1962415513) is an individual psychiatry provider in Plainfield, Illinois, licensed in Illinois (036-112004) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Medical College Of Wisconsin (2002).

NPPES Registry Identity

NPI1962415513

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MICHAEL J MARTINCredential: M.D.

Location Address24600 W. 127TH ST, STE B325Plainfield, IL 60585-9502

Mailing Address24600 W. 127th St, Ste B325Plainfield, IL 60585-9502 · (815) 731-9100 · Fax (815) 731-9110

Phone(815) 731-9100

Fax(815) 731-9110

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2002

Enumeration DateAugust 14, 2006

Last NPPES UpdateNovember 23, 2010

✔ NPI 1962415513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 036-112004

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-112004 (IL)

24600 W. 127TH ST, Plainfield, IL 60585

Open in Google Maps ↗

Other Identifiers 5

Medicare PINK52465IL

Medicare PINP00692141IL

Other2220936IL · Bcbs

Medicare UPINI44399IL

Medicaid036112004IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Michael J 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 ID7012934680

PECOS Enrollment IDI20051102000322

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 5

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.

192 services61 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

143 services50 patients

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.

78 services34 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

62 services17 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Edward Hospital

Acute Care Hospitals · Naperville, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140231

Location801 South WashingtonNaperville, IL 60540 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60585 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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.

91.35/100

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

Scored through an Alternative Payment Model

Quality

82.71

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

EDWARD HEALTH VENTURES

Internal Medicine (Hematology & Oncology)

24600 W. 127TH ST, BLDG A, 2ND FLOOR
PLAINFIELD, IL 60585

Will County (815) 731-9190

DR. ANDREW JOSEPH MICHALOWITZ D.O.

Orthopaedic Surgery

24600 W. 127TH ST, GARDEN LEVEL
PLAINFIELD, IL 60585

Will County (630) 646-7000

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 Michael Martin's NPI number?

The NPI number for Michael Martin is 1962415513. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Michael Martin located?

Michael Martin practices at 24600 W. 127th St Ste B325, Plainfield, IL 60585. The listed phone number is (815) 731-9100.

What is Michael Martin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Martin enrolled in Medicare?

Yes. Michael 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 Michael Martin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michael 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 Michael Martin affiliated with any hospitals?

According to CMS data, Michael Martin is affiliated with Edward Hospital.

When was this NPI record last updated?

The NPPES record for Michael Martin was last updated on November 23, 2010. 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.