MARTIN HIGHTOWER MD
NPI 1972582617
Radiology - Radiation Oncology in Sellersville, PA

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
700 LAWN AVE, SELLERSVILLE, PA 18960(215) 453-4950(215) 453-4094 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Martin Hightower Md NPPES

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

MARTIN HIGHTOWER MD (NPI 1972582617) is an individual radiation oncology provider in Sellersville, Pennsylvania, licensed in Pennsylvania (MD042039E) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972582617
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameMARTIN HIGHTOWERCredential: MD
Location Address700 LAWN AVESellersville, PA 18960-1548
Mailing AddressPo Box 222Sellersville, PA 18960-0222 · (215) 453-4950 · Fax (215) 453-4950
Fax(215) 453-4094
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 11, 2006
Last NPPES UpdateNovember 15, 2007
NPI 1972582617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in PA · MD042039E
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
700 LAWN AVE, Sellersville, PA 18960

Other Identifiers 4

OtherP00047164PA · Railroad Medicare Pin Leg
Other605573PA · Blue Shield Pin
Medicare PIN690788PUZPA
Medicare UPINF06322PA

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

Martin Hightower 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 ID2860454642
PECOS Enrollment IDI20100805000010
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 11

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
2,038 services70 patients
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
2,038 services70 patients
Continuing radiation therapy consultation per week 77336
Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
381 services76 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
371 services67 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
316 services82 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
107 services107 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18960 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
Improvement Activities40

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.

Emergency Medicine
700 LAWN AVE, GRANDVIEW HOSPITAL
SELLERSVILLE, PA 18960
Pathology (Anatomic Pathology & Clinical Pathology)
700 LAWN AVE
SELLERSVILLE, PA 18960
Radiology (Diagnostic Radiology)
700 LAWN AVE
SELLERSVILLE, PA 18960
Family Medicine (Hospice and Palliative Medicine)
700 LAWN AVE
SELLERSVILLE, PA 18960
Emergency Medicine
700 LAWN AVE
SELLERSVILLE, PA 18960
Physician Assistant
700 LAWN AVE
SELLERSVILLE, PA 18960
Pediatrics
700 LAWN AVE, CHOP CARE NETWORK AT GRANDVIEW HOSPITAL
SELLERSVILLE, PA 18960
Psychiatric Unit
700 LAWN AVE
SELLERSVILLE, PA 18960

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 Martin Hightower's NPI number?

The NPI number for Martin Hightower is 1972582617. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Martin Hightower located?

Martin Hightower practices at 700 Lawn Ave, Sellersville, PA 18960. The listed phone number is (215) 453-4950.

What is Martin Hightower's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Martin Hightower enrolled in Medicare?

Yes. Martin Hightower 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 Martin Hightower accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Martin Hightower 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 Martin Hightower affiliated with any hospitals?

According to CMS data, Martin Hightower is affiliated with Hospital Of Univ Of Pennsylvania, Pottstown Hospital, Phoenixville Hospital and Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Martin Hightower was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.