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DR. STEPHEN PAUL MARTELL M.D.
NPI 1982601407
Family Medicine in Leola, PA

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
146 E MAIN ST, LEOLA, PA 17540(717) 656-2141(717) 656-4986 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Paul Martell M.d. NPPES

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

DR. STEPHEN PAUL MARTELL M.D. (NPI 1982601407) is an individual family medicine provider in Leola, Pennsylvania, licensed in Pennsylvania (MD016596E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1974).

NPPES Registry Identity

NPI1982601407
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN PAUL MARTELLCredential: M.D.
Location Address146 E MAIN STLeola, PA 17540-1964
Mailing Address146 E Main StLeola, PA 17540-1964 · (717) 656-2141 · Fax (717) 656-4986
Phone(717) 656-2141
Fax(717) 656-4986
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1974
Enumeration DateJune 30, 2005
Last NPPES UpdateNovember 25, 2014
✔ NPI 1982601407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD016596E
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

146 E MAIN ST, Leola, PA 17540
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Other Identifiers 3

Medicaid0017571330007PA
Medicare ID-Type Unspecified028206PA
Medicare UPIND81483PA

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

Dr. Stephen Paul Martell 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 ID3779756630
PECOS Enrollment IDI20111109000597
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.
393 services161 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.
108 services65 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.
49 services49 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.
47 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services14 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17540 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

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…
99%215 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%110 patients5/55-star benchmark: 100%
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers12 claims23 services$6.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims54 services$1.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$15.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier23 claims23 services$83.00 avg. paid by Medicare
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$215.65 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 10

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

KRISTINE VANSELOW MD
Family Medicine
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141
MRS. LORNA CHING-CARTER PA-C
Physician Assistant (Medical)
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141
MR. RICHARD DAVID NIEMEYER MSW
Social Worker
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141
LANCASTER GENERAL MEDICAL GROUP
Family Medicine
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141
RICHARD H. NIEMEYER M.D.
Family Medicine
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141
RICHARD H. NIEMEYER
Family Medicine
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141
DR. LEILA HILAL MD
Family Medicine
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141
MIRANDA LOUISE GEYER PA-C
Family Medicine
146 E MAIN ST
LEOLA, PA 17540
Lancaster County (717) 656-2141

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 Stephen Martell's NPI number?

The NPI number for Stephen Martell is 1982601407. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Stephen Martell located?

Stephen Martell practices at 146 E Main St, Leola, PA 17540. The listed phone number is (717) 656-2141.

What is Stephen Martell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Martell enrolled in Medicare?

Yes. Stephen Martell 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 Stephen Martell accept?

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

According to CMS data, Stephen Martell is affiliated with Lancaster General Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Martell was last updated on November 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.