Active NPI 1568531010 Individual Practitioner Male Practitioner

Dr. Adrian P Martin , MD

Surgery • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adrian Martin, MD is a certified Surgery practicing in Carbondale, IL. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Martin delivers high-quality medical care to the local community at 305 W JACKSON ST STE 206.

Dr. Martin is affiliated with Southern Illinois Medical Services Nfp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 W Jackson St Ste 206

Carbondale, IL 629011474

Telephone 6184573006

Fax 6184573007

Associated Practice Facility / Clinic

🏢 Southern Illinois Hospital Services Facility NPI 1154408581

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Carbondale, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +3.3 yrs vs City Avg

City Avg: 30.7 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Carbondale, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martin (34 Years) 34 Yrs

Carbondale Specialty Average (30.7 Years) 30.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	49	$200.82	$122.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$263.23	$160.30
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$142.08	$86.66
49650 Repair of groin hernia using an endoscope	20	20	$2754.00	$509.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$124.24	$75.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$283.00	$172.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$211.00	$125.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$177.00	$106.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$254.00	$160.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$191.00	$119.40
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$136.00	$88.08
49650 Repair of groin hernia using an endoscope	17	17	$2592.00	$505.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$85.00	$54.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$168.00	$109.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$211.00	$129.71
47562 Removal of gallbladder using an endoscope	12	12	$2522.00	$675.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$254.00	$164.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$189.31	$122.79
49650 Repair of groin hernia using an endoscope	20	20	$2662.20	$522.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$167.50	$110.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$84.00	$38.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$211.00	$133.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$83.83	$50.94
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$946.00	$400.42
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$159.00	$99.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$254.00	$163.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	44	$167.68	$123.54
49324 Insertion of abdominal cavity catheter using an endoscope	22	22	$946.00	$393.05
49650 Repair of groin hernia using an endoscope	16	16	$2502.75	$540.82
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$112.14	$89.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$228.75	$178.81
47562 Removal of gallbladder using an endoscope	12	12	$2627.08	$682.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$254.00	$160.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	59	$165.00	$107.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$166.00	$105.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	19	$110.00	$73.01
49650 Repair of groin hernia using an endoscope	23	23	$2483.48	$527.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$211.00	$139.79
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$111.00	$70.22
47562 Removal of gallbladder using an endoscope	12	12	$2522.00	$695.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	93	$165.00	$105.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$254.00	$162.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$166.00	$106.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	19	$110.00	$71.35
49650 Repair of groin hernia using an endoscope	24	24	$2660.00	$555.41
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$115.00	$74.63
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$111.00	$67.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$211.00	$131.09
47562 Removal of gallbladder using an endoscope	15	15	$2522.00	$641.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$309.00	$202.62
49324 Insertion of abdominal cavity catheter using an endoscope	12	12	$946.00	$386.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	87	$165.00	$104.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$166.00	$105.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$254.00	$160.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$211.00	$135.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	16	$110.00	$71.89
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$111.00	$68.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$309.00	$200.90
49650 Repair of groin hernia using an endoscope	14	14	$2400.00	$499.12
47562 Removal of gallbladder using an endoscope	12	12	$2522.00	$646.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	89	$165.00	$102.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$166.00	$104.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	31	$110.00	$71.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$211.00	$135.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$254.00	$159.31

Medical Specialties & State Licenses

CMS Verified: 2025-05-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036115702

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036115702 (IL)

Commercial Insurance / Payer ID Bcbs Of Il

3932056 (IL)

Commercial Insurance / Payer ID Aetna

7210895 (IL)

Commercial Insurance / Payer ID Health Alliance

120857 (IL)

Commercial Insurance / Payer ID Ghp

324137 (IL)

Commercial Insurance / Payer ID Healthlink

294010 (IL)

Hospital & Practice Group Affiliations

Southern Illinois Medical Services Nfp

2 S Hospital Dr, Murphysboro, IL 629663333

Phone: 6186843156

Southern Illinois Medical Services Nfp

201 S 14th St, Herrin, IL 629483631

Phone: 6189422171

Southern Illinois Medical Services Nfp

305 W Jackson St, Carbondale, IL 629011474

Southern Illinois Medical Services Nfp

405 W Jackson St, Carbondale, IL 629011462

Phone: 6185490721

Southern Illinois Medical Services Nfp

2601 W Main St, Carbondale, IL 629011031

Phone: 6185495361

Secondary Practice Locations

317 S 14th St

Herrin, IL 629483671

Phone: 6189422002

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Dr. Roy Danks , DO

Surgery

NPI 1306812029

Doctor of Osteopathic Medicine (D.O.)

Elias Anderson , PA-C

Physician Assistant

NPI 1336346360

Physician Assistant (Certified)

Dr. Abraham El-Sedfy , MD

Colon & Rectal Surgery

NPI 1346506607

Doctor of Medicine (M.D.)

Dr. Satyadeep Bhattacharya , MD

Surgery

NPI 1477726875

Doctor of Medicine (M.D.)

Thomas De Torres , PA-C

Physician Assistant

NPI 1497820211

Physician Assistant (Certified)

Dr. Christopher Hogg , DO

Orthopaedic Surgery

NPI 1518998202

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2025

Surgery (License #036115702 in IL)

📍

Updated Practice Location January 07, 2021

Registered at 305 W JACKSON ST STE 206, CARBONDALE, IL 629011474 (Tel: 6184573006)

📍

Updated Business Mailing Address January 07, 2021

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

✅

NPI Profile Active February 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2015

Registered at 305 W JACKSON ST STE 300, CARBONDALE, IL 629011474 (Tel: 6184573006)

📍

Updated Business Mailing Address February 24, 2015

Registered at PO BOX 1105, INDIANAPOLIS, IN 462061105 (Tel: 6185495361)

👤

Provider Name / Credentials Updated February 24, 2015

Recorded as ADRIAN MARTIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2015

Surgery (License #036-115702 in IL)

🟢

Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568531010

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 07, 2006

Last Update: May 08, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.