Active NPI 1487662797 Individual Practitioner Male Practitioner

Dr. Donald J Martin , MD

Surgery • Adrian, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Martin, MD is a certified Surgery practicing in Adrian, MI. With approximately 45 years of clinical experience since graduating from Wayne State University School Of Medicine in 1981, Dr. Martin delivers high-quality medical care to the local community at 750 HIGH ST.

Dr. Martin is affiliated with Promedica Central Corporation Of Michigan and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

750 High St

Adrian, MI 492211443

Telephone 5172645111

Fax 5172645139

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Adrian, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +19.3 yrs vs City Avg

City Avg: 25.7 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Adrian, MI (1479 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martin (45 Years) 45 Yrs

Adrian Specialty Average (25.7 Years) 25.7 Yrs

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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$239.00	$138.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$210.00	$94.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$958.00	$106.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$182.92	$103.56
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$104.31	$71.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	22	$124.58	$71.91
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$140.65	$73.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	35	$958.00	$121.89
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	36	36	$1030.00	$168.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$232.64	$135.51
45380 Biopsy of large bowel using an endoscope	31	31	$1309.00	$180.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1076.00	$260.85
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$824.00	$167.81
99201 New patient office or other outpatient visit, typically 10 minutes	21	21	$62.33	$44.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$71.67	$43.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$824.00	$189.01
47562 Removal of gallbladder using an endoscope	12	12	$1708.00	$521.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$824.00	$180.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$145.00	$100.99
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$92.00	$68.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$958.00	$102.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	13	$118.00	$71.40
99201 New patient office or other outpatient visit, typically 10 minutes	25	25	$53.00	$42.69
45380 Biopsy of large bowel using an endoscope	24	24	$1309.00	$149.45
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$100.00	$72.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$218.00	$134.19
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$824.00	$172.38
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	21	21	$1030.00	$205.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$65.00	$41.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$128.00	$103.62
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$824.00	$170.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	57	$92.00	$68.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	45	$958.00	$114.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$145.00	$103.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$65.00	$41.59
45380 Biopsy of large bowel using an endoscope	35	35	$1309.00	$165.75
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$100.00	$71.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$824.00	$186.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$218.00	$133.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$118.00	$70.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1076.00	$257.57
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$824.00	$182.69
47562 Removal of gallbladder using an endoscope	16	16	$1708.00	$393.04
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$53.00	$41.99
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$879.00	$86.71
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$1030.00	$162.93

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301045313

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

4907813 (MI)

Medicaid State Provider ID

0904249 (OH)

Commercial Insurance / Payer ID Paramount

04535

Commercial Insurance / Payer ID Hpm

5879

Commercial Insurance / Payer ID Aetna

4515920

Commercial Insurance / Payer ID Carechoice/preferred Choi

510801

Commercial Insurance / Payer ID Bcbs Mi

204600571

Commercial Insurance / Payer ID Anthem

000000494719

Commercial Insurance / Payer ID Rrmc

P00371571

Commercial Insurance / Payer ID Glhp

102319

Hospital & Practice Group Affiliations

Promedica Central Corporation Of Michigan

200 E Russell Rd, Tecumseh, MI 492862072

Phone: 5172639491

Promedica Central Corporation Of Michigan

5640 N Adrian Hwy, Adrian, MI 492218318

Phone: 4192914491

Promedica Central Corporation Of Michigan

5640 N Adrian Hwy, Adrian, MI 492218318

Phone: 5175770283

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Abdul Arshad , MD

Surgery

NPI 1669489258

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 April 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2008

Registered at 750 HIGH ST, ADRIAN, MI 492211443 (Tel: 5172645111)

📍

Updated Business Mailing Address April 24, 2008

Registered at 750 HIGH ST, ADRIAN, MI 492211443 (Tel: 5172645111)

👤

Provider Name / Credentials Updated April 24, 2008

Recorded as DONALD MARTIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Surgery (License #4301045313 in MI)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1487662797

Entity Type:

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

Enumeration Date: August 03, 2006

Last Update: November 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

750 High St

Adrian, MI 492211443

Phone: 5172645111

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.