Active NPI 1669529327 Individual Practitioner Male Practitioner

Dr. James H Martin , MD

Surgery • Ashland, KY

Professional Overview & Biography Verified Profile Summary

Dr. James Martin, MD is a registered healthcare professional specializing in Surgery in Ashland, KY. Practice services are available at 900 SAINT CHRISTOPHER DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 Saint Christopher Dr
Suite 202

Ashland, KY 411017090

Telephone 6068363770

Fax 8668383770

Associated Practice Facility / Clinic

🏢 Tri-State Pediatrics Facility NPI 1013098904

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ashland, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.4 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Ashland, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	24	$185.00	$102.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$250.00	$198.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	19	$125.00	$70.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	16	$95.00	$38.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$155.00	$134.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	53	$185.00	$100.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	33	$75.00	$24.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	51	$250.00	$194.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	36	$125.00	$70.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$125.00	$99.97
11042 Removal of skin and tissue, 20.0 sq cm or less	41	22	$315.00	$55.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	24	$95.00	$37.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$155.00	$132.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$125.00	$102.43
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$85.00	$68.26
97597 Removal of tissue from wound, 20.0 sq cm or less	20	13	$93.00	$23.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$75.00	$41.24
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$135.00	$93.68
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$85.00	$49.24
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$85.00	$71.41
47562 Removal of gallbladder using an endoscope	16	16	$2800.00	$638.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$125.00	$73.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$125.00	$73.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$50.00	$18.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$707.00	$328.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	58	$185.00	$97.39
11042 Removal of skin and tissue, 20.0 sq cm or less	59	29	$315.00	$55.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	37	$75.00	$23.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	51	$250.00	$189.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	36	$125.00	$67.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$155.00	$127.71
97597 Removal of tissue from wound, 20.0 sq cm or less	31	17	$93.00	$22.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	22	$95.00	$36.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$75.00	$39.50
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$85.00	$46.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$125.00	$98.14
47562 Removal of gallbladder using an endoscope	21	21	$2800.00	$593.79
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$135.00	$94.71
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$85.00	$66.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$200.00	$143.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$125.00	$69.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	17	$707.00	$318.61
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	17	$50.00	$17.57
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	17	13	$425.00	$137.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$175.00	$132.66
11044 Removal of bone, 20.0 sq cm or less	14	14	$553.00	$216.53
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$85.00	$64.76
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$85.00	$47.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$255.00	$189.77
99238 Hospital discharge day management, 30 minutes or less	11	11	$150.00	$67.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	66	$185.00	$92.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	39	$125.00	$64.57
11042 Removal of skin and tissue, 20.0 sq cm or less	55	31	$315.00	$51.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$250.00	$181.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	27	$75.00	$22.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$194.55	$143.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$125.00	$93.78
97597 Removal of tissue from wound, 20.0 sq cm or less	31	18	$93.00	$21.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$125.00	$89.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$155.00	$122.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	22	$95.00	$35.10
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$135.00	$90.48
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$85.00	$63.42
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$85.00	$44.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$125.00	$68.96
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	15	14	$425.00	$128.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$75.00	$37.65
11044 Removal of bone, 20.0 sq cm or less	14	12	$553.00	$200.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$50.00	$17.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$125.00	$70.34
47562 Removal of gallbladder using an endoscope	12	12	$2880.62	$592.56
99238 Hospital discharge day management, 30 minutes or less	12	12	$150.00	$64.39
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$85.00	$45.14
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3000.00	$638.96
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$85.00	$64.88

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 28331

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

64283310 (KY)

Medicaid State Provider ID

0866068 (OH)

Commercial Insurance / Payer ID Anthem Blue Access Number

000000042823 (KY)

Commercial Insurance / Payer ID Medicare Rr

020045216

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Edakkunny Unnikrishnan , MD

Urology

NPI 1326023110

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2016

Registered at 900 SAINT CHRISTOPHER DR, SUITE 202, ASHLAND, KY 411017090 (Tel: 6068363770)

📍

Updated Business Mailing Address July 25, 2016

Registered at 900 SAINT CHRISTOPHER DR, SUITE 202, ASHLAND, KY 411017090 (Tel: 6068363770)

👤

Provider Name / Credentials Updated July 25, 2016

Recorded as JAMES MARTIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Surgery (License #28331 in KY)

🟢

Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669529327

Entity Type:

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

Enumeration Date: January 04, 2007

Last Update: July 25, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

900 Saint Christopher Dr, Suite 202

Ashland, KY 411017090

Phone: 6068363770

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.