Active NPI 1114169570 Individual Practitioner Male Practitioner

Dr. Thomas David Martin , MD

Surgery • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Martin, MD is a certified Surgery practicing in Grand Rapids, MI. With approximately 17 years of clinical experience since graduating from Wayne State University School Of Medicine in 2009, Dr. Martin delivers high-quality medical care to the local community at 1900 WEALTHY ST SE.

Dr. Martin is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 Wealthy St Se
Suite 180

Grand Rapids, MI 495062969

Telephone 6167748501

Fax 6167748595

Associated Practice Facility / Clinic

🏢 Healthquest Surgical Associates Plc Facility NPI 1649215880

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grand Rapids, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -1.9 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

128 Specialists

Practicing in Grand Rapids, MI (1479 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martin (17 Years) 17 Yrs

Grand Rapids Specialty Average (18.9 Years) 18.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$139.22	$76.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$346.27	$155.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$155.00	$80.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$347.00	$161.95

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	16	16	$341.00	$163.63
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$149.63	$78.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$222.00	$124.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$224.00	$109.37

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	24	24	$338.50	$156.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$220.10	$126.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$285.00	$133.84
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$150.93	$83.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	30	$147.11	$72.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	15	$145.80	$72.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$217.90	$101.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$215.85	$107.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$331.82	$162.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	47	$143.82	$67.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$141.04	$72.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	20	$211.33	$103.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$213.46	$103.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$325.50	$161.00
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$201.54	$100.88
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$3082.92	$1058.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$142.00	$64.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$204.54	$101.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	13	$140.00	$65.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$210.00	$92.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$321.00	$159.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$270.00	$133.70

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	43	39	$204.58	$101.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$207.43	$98.27
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$140.21	$69.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$138.00	$70.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$266.00	$133.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$315.12	$147.54

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301094619

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.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

2249 Wealthy St Se, East Grand Rapids, MI 495063055

Phone: 6163914600

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Spectrum Health Primary Care Partners

230 W Oak St, Fremont, MI 494121526

Spectrum Health Primary Care Partners

4069 Lake Dr Se, Grand Rapids, MI 495468816

Spectrum Health Primary Care Partners

4100 Lake Dr Se, Grand Rapids, MI 495468292

Spectrum Health Primary Care Partners

1900 Wealthy St Se, Grand Rapids, MI 495062972

Phone: 6167748501

Spectrum Health Primary Care Partners

100 Michigan St Ne Rm, Grand Rapids, MI 495032560

Phone: 6162670115

Spectrum Health Primary Care Partners

1840 Wealthy St Se, Grand Rapids, MI 495062921

Phone: 6168855000

Spectrum Health Primary Care Partners

2009 Holton Rd, Muskegon, MI 494451578

Phone: 2312918399

Spectrum Health Primary Care Partners

100 Michigan Ave Ne, Grand Rapids, MI 495032560

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Lora Silverman , MD

Surgery

NPI 1023214822

Doctor of Medicine (M.D.)

Elizabeth Moore , CNP

Nurse Practitioner - Acute Care

NPI 1114475019

Certified Nurse Practitioner

Dr. David Scheeres , MD

Surgery

NPI 1225102254

Doctor of Medicine (M.D.)

Dr. Kenneth Minks , MD

Surgery

NPI 1235129875

Doctor of Medicine (M.D.)

Dr. Amy Banks-Venegoni , MD

Surgery

NPI 1235367715

Doctor of Medicine (M.D.)

Dr. Luke Durling , MD

Surgery - Surgical Critical Care

NPI 1356544514

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 February 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2016

Registered at 1900 WEALTHY ST SE, SUITE 180, GRAND RAPIDS, MI 495062969 (Tel: 6167748501)

📍

Updated Business Mailing Address February 23, 2016

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤

Provider Name / Credentials Updated February 23, 2016

Recorded as THOMAS MARTIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2016

Surgery (License #4301094619 in MI)

🟢

Initial NPI Registration & Enumeration April 01, 2009

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: 1114169570

Entity Type:

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

Enumeration Date: April 01, 2009

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

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.