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DR. RACHEL MARTIN MD
NPI 1972953131
Family Medicine - Geriatric Medicine in Winston Salem, NC

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
1920 W 1ST ST, WINSTON SALEM, NC 27104(336) 716-4479(336) 716-1317 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Jun 20, 2016 (2 updates tracked since 2016).

About Dr. Rachel Martin Md NPPES

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

DR. RACHEL MARTIN MD (NPI 1972953131) is an individual geriatric medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2020-00619) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains a secondary practice location in Lawrence.

NPPES Registry Identity

NPI1972953131
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. RACHEL MARTINCredential: MD
Location Address1920 W 1ST STWinston Salem, NC 27104-4220
Mailing Address1920 W 1st StWinston Salem, NC 27104-4220 · (336) 716-4479 · Fax (336) 716-1317
Phone(336) 716-4479
Fax(336) 716-1317
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016
Enumeration DateJune 20, 2016
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1972953131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NC · 2020-00619
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 268209 (MA)
1920 W 1ST ST, Winston Salem, NC 27104
Open in Google Maps ↗

Secondary Practice Location 1

Location 134 Haverhill StLawrence, MA 01841-2884 · Phone (978) 725-7410 · Fax (978) 687-2106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and more.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. Rachel 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 ID3274827787
PECOS Enrollment IDI20210909000378
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 6

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 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.
83 services57 patients
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.
46 services41 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.
26 services26 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services22 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.
21 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

MS. CYNTHIA B DANNER LCSW
Social Worker (Clinical)
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 945-0940
DR. SUSAN CLARKE MB BCH, MSC
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST, PIEDMONT PLAZA 1, SECOND FLOOR
WINSTON SALEM, NC 27104
Forsyth County (336) 716-2794
STEVEN FOSTER DO
Family Medicine
1920 W 1ST ST, PIEDMONT PLAZA 1
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3724
NORTH CAROLINA BAPTIST HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1920 W 1ST ST, MAIN FLOOR PIEDMONT PLAZA ONE
WINSTON SALEM, NC 27104
Forsyth County (336) 716-5800
SARA FOSTER FABIANO MD
Family Medicine
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
DR. JENNIFER ELIZABETH ROPER M.D.
Family Medicine
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
AUSTIN DUNCAN THOMAS MD
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
SHANNON REBEKAH JAMES NP
Nurse Practitioner (Family)
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479

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 Rachel Martin's NPI number?

The NPI number for Rachel Martin is 1972953131. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Rachel Martin located?

Rachel Martin practices at 1920 W 1st St, Winston Salem, NC 27104. The listed phone number is (336) 716-4479.

What is Rachel Martin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Rachel Martin enrolled in Medicare?

Yes. Rachel 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 Rachel Martin accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Rachel 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 Rachel Martin affiliated with any hospitals?

According to CMS data, Rachel Martin is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Martin was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.