Theresa Martin, MD
NPI 1497133342 · Family Medicine Physician · Marion, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Martin, MD is a Family Medicine Physician provider in Marion, NY (NPI 1497133342).
Provider details
- NPI number
- 1497133342
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 295038 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
135 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 52 | $113 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $87 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 29 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 22 | $124 |
Typical Medicare-allowed amounts for these services range $15–$124 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 74 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 144 | 52 |
| Lisinopril | 143 | 53 |
| Levothyroxine Sodium | 117 | 38 |
| Amlodipine Besylate | 108 | 39 |
| Hydrochlorothiazide | 74 | 17 |
| Losartan Potassium | 74 | 24 |
| Duloxetine Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-12
- Last updated
- 2023-06-30
Frequently asked questions
- What is Theresa Martin's NPI number?
- Theresa Martin's National Provider Identifier (NPI) is 1497133342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Martin's specialty?
- Theresa Martin is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theresa Martin located?
- Theresa Martin's practice location on file with NPPES is 3669 Countryside Ln, Marion, NY 14505.
- What is Theresa Martin's phone number?
- The practice phone number listed in the NPPES registry for Theresa Martin is (315) 926-7733.
- Does Theresa Martin accept Medicare?
- Theresa Martin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Martin's NPI active?
- Yes — Theresa Martin's NPI (1497133342) is active in the NPPES registry as of the last update on 2023-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.