MELISSA KATHLEEN MARTIN MD
NPI 1962430090
Internal Medicine in Athens, GA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
1500 OGLETHORPE AVE, SUITE 2500, ATHENS, GA 30606(706) 548-7909(706) 543-6091 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Kathleen Martin Md NPPES

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

MELISSA KATHLEEN MARTIN MD (NPI 1962430090) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (058071) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of University Of Maryland School Of Medicine (2002).

NPPES Registry Identity

NPI1962430090
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELISSA KATHLEEN MARTINCredential: MD
Location Address1500 OGLETHORPE AVE, SUITE 2500Athens, GA 30606-2179
Mailing Address1500 Oglethorpe Ave, Suite 2500Athens, GA 30606-2179 · (706) 548-7909 · Fax (706) 543-6091
Fax(706) 543-6091
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2002
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 22, 2010
NPI 1962430090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 058071
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.

Also ListedPediatricsTaxonomy 208000000X · License 058071 (GA)
1500 OGLETHORPE AVE, Athens, GA 30606

Other Identifiers 4

Medicare UPINI59100GA
Medicaid747573398AGA
Medicaid747573398BGA
Medicare PIN11SCGJTGA

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

Melissa Kathleen 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 ID4688678980
PECOS Enrollment IDI20060829000107
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, 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.
79 services43 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.
39 services24 patients
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.
37 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
13%40 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%47 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
4%23 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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$175.56 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.

Internal Medicine
1500 OGLETHORPE AVE, SUITE 3200
ATHENS, GA 30606
Obstetrics & Gynecology
1500 OGLETHORPE AVE, SUITE 200B
ATHENS, GA 30606
Pediatrics
1500 OGLETHORPE AVE, BLDG 100
ATHENS, GA 30606
Specialist/Technologist (Athletic Trainer)
1500 OGLETHORPE AVE, SUITE 500B
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE, SUITE 2200
ATHENS, GA 30606
Pediatrics
1500 OGLETHORPE AVE, BLDG 600 STE B
ATHENS, GA 30606
Internal Medicine
1500 OGLETHORPE AVE, SUITE 2200
ATHENS, GA 30606
Physician Assistant
1500 OGLETHORPE AVE, BLDG 600 STE EF
ATHENS, GA 30606

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 Melissa Martin's NPI number?

The NPI number for Melissa Martin is 1962430090. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Melissa Martin located?

Melissa Martin practices at 1500 Oglethorpe Ave Suite 2500, Athens, GA 30606. The listed phone number is (706) 548-7909.

What is Melissa Martin's specialty?

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

Is Melissa Martin enrolled in Medicare?

Yes. Melissa 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 Melissa Martin accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Melissa 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 Melissa Martin affiliated with any hospitals?

According to CMS data, Melissa Martin is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Martin was last updated on June 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.