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Deactivated NPI 1245223924 Deactivated / Inactive NPI Male Practitioner

Dr. K. Andrew Martin , MD

Specialist • Edgewood, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. K. Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2005
NPI Deactivation Date July 23, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. K. Martin, MD was a registered Specialist practicing in Edgewood, KY. Throughout an active medical career spanning 16 years, Dr. Martin provided care at the practice location at 1 MEDICAL VILLAGE DR until profile deactivation on 2021-07-23.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with moderate level of medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8592120003
Fax 8593445553
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edgewood, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 36.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Edgewood, KY (431 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.4% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
409 146 $127.00 $68.51
99238 Hospital discharge day management, 30 minutes or less
126 124 $127.00 $68.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
125 63 $182.00 $98.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
83 82 $353.00 $193.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
20 20 $238.00 $131.35

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KY 38207

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1114980521

Doctor of Medicine (M.D.)

NPI 1376533372

Doctor of Medicine (M.D.)

Dr. Justin Case , MD

Internal Medicine

NPI 1609044015

Doctor of Medicine (M.D.)

Dr. Robert Weber , MD

Internal Medicine

NPI 1619976081

Doctor of Medicine (M.D.)

NPI 1669465423

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
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NPI Profile Deactivated July 23, 2021

Record deactivated on July 23, 2021

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Provider Name / Credentials Updated October 12, 2018

Recorded as KEVIN MARTIN, MD

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Updated Business Mailing Address September 05, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8592124468)

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Updated Practice Location May 22, 2018

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017 (Tel: 8592120003)

NPI Profile Active December 29, 2017

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2017

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8592120003)

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Updated Business Mailing Address December 29, 2017

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171673 (Tel: 8592120003)

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Provider Name / Credentials Updated December 29, 2017

Recorded as K. MARTIN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2017

Specialist (License #38207 in KY)

NPI Profile Active June 05, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 05, 2014

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8592120003)

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Updated Business Mailing Address June 05, 2014

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171673 (Tel: 8592120003)

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Provider Name / Credentials Updated June 05, 2014

Recorded as K. MARTIN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2014

Specialist (License #38207 in KY)

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Initial NPI Registration & Enumeration August 26, 2005

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: 1245223924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: June 05, 2014
Deactivation Date: July 23, 2021

Mailing Address

2300 Chamber Center Dr, Suite 200

Lakeside Park, KY 410171673

Phone: 8592120003

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.