Active NPI 1033409867 Individual Practitioner Male Practitioner

Dr. Stephan Louis Martone , MD

Surgery • Albany, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephan Martone, MD is a certified Surgery practicing in Albany, NY. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Martone delivers high-quality medical care to the local community at 43 NEW SCOTLAND AVE.

Dr. Martone is affiliated with Albany Medical College and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, 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

43 New Scotland Ave

Albany, NY 122083412

Telephone 5182620941

Associated Practice Facility / Clinic

🏢 Susan K Gibbons Md Pllc Facility NPI 1427040682

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Albany, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -13.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

43 Specialists

Practicing in Albany, NY (2269 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martone (15 Years) 15 Yrs

Albany Specialty Average (28.0 Years) 28.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	352	158	$214.00	$74.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	201	111	$116.00	$46.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	33	$309.00	$112.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	63	$404.00	$123.30
99291 Critical care, first 30-74 minutes	60	29	$659.00	$200.22
99221 Initial hospital inpatient care per day, typically 30 minutes	47	47	$299.00	$77.11

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	462	209	$213.80	$76.02
99291 Critical care, first 30-74 minutes	85	45	$659.00	$204.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	70	$404.00	$124.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	33	$309.00	$114.38
99221 Initial hospital inpatient care per day, typically 30 minutes	46	46	$299.00	$79.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	32	$116.00	$47.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$599.00	$166.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$110.62	$34.14

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	423	186	$214.00	$69.34
99291 Critical care, first 30-74 minutes	92	50	$659.00	$212.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	63	$404.00	$131.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	45	$309.00	$99.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	26	$116.00	$37.53
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$299.00	$97.11
99238 Hospital discharge day management, 30 minutes or less	22	21	$215.00	$69.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$599.00	$192.99

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	437	242	$214.00	$70.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	100	$404.00	$133.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	63	$116.00	$37.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	95	51	$309.00	$101.40
99291 Critical care, first 30-74 minutes	69	38	$659.00	$213.29
99221 Initial hospital inpatient care per day, typically 30 minutes	45	45	$299.00	$98.84
99238 Hospital discharge day management, 30 minutes or less	16	16	$215.00	$67.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$599.00	$196.46
43246 Insertion of stomach tube using a flexible endoscope	13	13	$1388.00	$144.40

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	534	286	$214.00	$71.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	110	110	$404.00	$136.13
99291 Critical care, first 30-74 minutes	105	51	$659.00	$219.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	50	$309.00	$103.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	61	$116.00	$38.92
99221 Initial hospital inpatient care per day, typically 30 minutes	49	49	$299.00	$100.31
99238 Hospital discharge day management, 30 minutes or less	29	29	$215.00	$72.29
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$160.23	$50.91
43246 Insertion of stomach tube using a flexible endoscope	11	11	$1388.00	$173.16

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	454	267	$214.00	$71.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	88	$309.00	$101.75
99291 Critical care, first 30-74 minutes	113	57	$659.00	$217.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	85	$404.00	$133.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	39	$116.00	$38.46
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$299.00	$98.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	12	$89.33	$24.92
99238 Hospital discharge day management, 30 minutes or less	16	16	$215.00	$71.41
43246 Insertion of stomach tube using a flexible endoscope	13	13	$1388.00	$183.91
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$161.00	$50.01

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	372	248	$213.95	$68.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	142	93	$308.78	$98.06
99291 Critical care, first 30-74 minutes	111	59	$659.00	$204.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	72	$404.00	$128.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	42	$116.00	$36.80
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$299.00	$94.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	12	$192.91	$38.04
99238 Hospital discharge day management, 30 minutes or less	17	17	$215.00	$68.67

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	132	82	$195.00	$69.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	39	$278.00	$101.10
99291 Critical care, first 30-74 minutes	40	22	$614.00	$216.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$356.00	$132.35
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$261.00	$97.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$108.00	$37.98

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 290183

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License FL ME127339

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License NY 63106

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Albany Medical College

50 New Scotland Ave, Albany, NY 122083403

Practice Associates & Co-Workers

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

3 Associated Practitioners

Kathryn Bielawa

Physician Assistant

NPI 1093552507

Dr. Andrew Deroo , MD

Surgery - Trauma Surgery

NPI 1356587653

Doctor of Medicine (M.D.)

Ryan Youngs , FNP

Nurse Practitioner - Family

NPI 1740641588

Family Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Student in an Organized Health Care Education/Training Program (License #ME127339 in FL)

✅

NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2017

Registered at 43 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: (518) 262-0941)

📍

Updated Business Mailing Address July 28, 2017

Registered at 43 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: (518) 262-0941)

👤

Provider Name / Credentials Updated July 28, 2017

Recorded as STEPHAN MARTONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Surgery (License #290183 in NY)

✅

NPI Profile Active September 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2016

Registered at 52 W. UNDERWOOD STREET, ORLANDO, FL 32806 (Tel: 3218415111)

📍

Updated Business Mailing Address September 09, 2016

Registered at 86 W UNDERWOOD ST, SUITE 201, ORLANDO, FL 328061110 (Tel: 3218415142)

👤

Provider Name / Credentials Updated September 09, 2016

Recorded as STEPHAN MARTONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2016

Student in an Organized Health Care Education/Training Program (License #ME127339 in FL)

🟢

Initial NPI Registration & Enumeration April 13, 2011

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: 1033409867

Entity Type:

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

Enumeration Date: April 13, 2011

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

43 New Scotland Ave

Albany, NY 122083412

Phone: 5182620941

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.