Active NPI 1376607168 Individual Practitioner Male Practitioner

Dr. Michael Richard Martin , DO

Internal Medicine • Warwick, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Martin, DO is a certified Internal Medicine practicing in Warwick, RI. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Martin delivers high-quality medical care to the local community at 215 TOLL GATE RD.

Dr. Martin is affiliated with Kristen R Dimarco Do Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 Toll Gate Rd
Suite 306

Warwick, RI 028864458

Telephone 4017386565

Fax 4017386599

Associated Practice Facility / Clinic

🏢 Select Physical Therpay Holdings Inc Facility NPI 1831151026

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

121 Specialists

Practicing in Warwick, RI (1079 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

27.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martin (30 Years) 30 Yrs

Warwick Specialty Average (17.8 Years) 17.8 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
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	117	117	$185.68	$130.46
99213 Established patient office or other outpatient visit, typically 15 minutes	117	83	$125.00	$91.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	78	$185.00	$129.25
99442 Telephone medical discussion with physician, 11-20 minutes	31	28	$110.48	$91.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$186.07	$131.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	91	$185.00	$129.19
99213 Established patient office or other outpatient visit, typically 15 minutes	104	76	$125.00	$91.24
99442 Telephone medical discussion with physician, 11-20 minutes	55	46	$110.00	$92.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$186.34	$135.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	98	$185.00	$131.68
99442 Telephone medical discussion with physician, 11-20 minutes	108	80	$111.11	$93.60
99213 Established patient office or other outpatient visit, typically 15 minutes	80	67	$125.00	$94.21
G0009 Administration of pneumococcal vaccine	17	17	$35.00	$30.83
G0008 Administration of influenza virus vaccine	12	12	$34.17	$30.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$189.09	$137.94
99213 Established patient office or other outpatient visit, typically 15 minutes	109	81	$127.20	$94.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	79	$182.72	$135.01
99442 Telephone medical discussion with physician, 11-20 minutes	42	32	$111.07	$95.79
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$164.58	$135.70
G0008 Administration of influenza virus vaccine	11	11	$30.00	$17.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	102	$140.00	$78.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$224.63	$120.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	69	$151.81	$113.38
G0008 Administration of influenza virus vaccine	27	27	$30.00	$17.62
G0009 Administration of pneumococcal vaccine	25	25	$35.00	$17.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$80.00	$46.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$241.67	$173.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	129	$140.00	$74.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	132	132	$211.29	$115.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	76	$151.16	$109.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	175	112	$129.54	$70.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$170.22	$114.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	83	$150.00	$104.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$206.33	$162.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	183	115	$125.00	$70.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	90	$150.16	$102.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$170.00	$111.17
G0009 Administration of pneumococcal vaccine	13	13	$30.00	$26.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$202.08	$159.00

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI 00512

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Kristen R Dimarco Do Ltd

215 Toll Gate Rd, Warwick, RI 028864462

Phone: 4017386565

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kristen Dimarco , DO

Family Medicine

NPI 1487725743

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2007

Registered at 215 TOLL GATE RD, SUITE 306, WARWICK, RI 028864458 (Tel: 4017386565)

📍

Updated Business Mailing Address October 10, 2007

Registered at 4 DOGWOOD DR, COVENTRY, RI 028166650 (Tel: 4018217870)

👤

Provider Name / Credentials Updated October 10, 2007

Recorded as MICHAEL MARTIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2007

Internal Medicine (License #00512 in RI)

🟢

Initial NPI Registration & Enumeration December 19, 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: 1376607168

Entity Type:

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

Enumeration Date: December 19, 2006

Last Update: October 10, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4 Dogwood Dr

Coventry, RI 028166650

Phone: 4018217870

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.