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

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

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: July 19, 2026.

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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 Phoenixville Hospital, 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

Phone(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

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Other Identifiers 4

OtherP00047164PA · Railroad Medicare Pin Leg

Other605573PA · Blue Shield Pin

Medicare PIN690788PUZPA

Medicare UPINF06322PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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

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 12

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.

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.

2,761 services111 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 modulatingâ€”or controllingâ€”the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

2,752 services109 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.

568 services116 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.

457 services96 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

129 services129 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.

116 services112 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

86 services86 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

86 services84 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

69 services68 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

66 services65 patients

Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme G0340

This treatment uses high-precision radiation, guided by real-time imaging, to target tumors. A robotic linear accelerator shapes the radiation to match the tumor, reducing harm to healthy tissue. The treatment is spread over 2-5 sessions and is limited to 5 sessions per course.

46 services17 patients

Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment G0339

Image-guided robotic linear accelerator-based stereotactic radiosurgery is a precise, non-invasive treatment. It uses a machine to deliver high-dose radiation to a specific area in your body, like a tumor, in a single session or across multiple sessions.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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 Interoperability

Improvement Activities

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.

DONNA PURUGGANAN CRNA

Nurse Anesthetist, Certified Registered