Individual provider Active NPI

Martha Lynn Pisaniello, M.D.

  • Family Medicine Physician
  • Lowville, NY
National Provider Identifier
1043218951
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
180587 Issued in NY
Practice address
7785 N State St FL 3
Lowville, NY 13367-1297
Phone
(315) 376-5287
Fax
(315) 376-3228
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 180587 NY
Family Medicine Physician 207Q00000X 180587 NY Primary

Addresses

Primary practice location

7785 N State St FL 3
Lowville, NY 13367-1297

Mailing address

7785 N State St FL 3
Lowville, NY 13367-1297
Phone (315) 376-5287

Other identifiers 2

IdentifierTypeStateIssuer
01175575MedicaidNY
54933BOtherNYMEDICARE PTAN/PIN

Other names 1

  • Dr. Martha Lynn Matteson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000867 NY Practitioner - Family Practice 2567408487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mayo Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis CountyGroup PAC ID 2668463779, shared by 14 NPIs, 39 clinicians

Practice addresses (Care Compare)

3926 State Route 12
Lyons Falls, NY 13368-1919
Phone (315) 348-8407

Hospital & facility affiliations

  • Lewis County General Hospital Chha Home health agency, Lowville, NY, CCN 337136
  • Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
  • Lewis County General Hospital-Nursing Home Unit Nursing home, Lowville, NY, CCN 335428

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County CurrentSince Feb 2, 2015 Accepting new patients
Lewis County General Hospital CurrentSince Jan 7, 2019 Accepting new patients
Lewis County General Hospital Family Medicine CurrentSince Jan 8, 2019 Accepting new patients
Lewis County General Hospital Family Medicine CurrentSince Feb 2, 2015 Accepting new patients
Lewis County General Hospital Current Accepting new patients
Lewis County General Hospital Past Accepting new patients
Lewis County General Hospital Family Medicine Past Accepting new patients
M Lynn Pisaniello, MD PastSince Jan 1, 1990 Accepting new patients
Lewis County Past Accepting new patients
Lewis County General Hospital Past Accepting new patients

Locations

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

7785 N State St
Fl 3
Lowville, NY 13367
Phone (315) 376-5287

3926 State Route 12
Lyons Falls, NY 13368
Phone (315) 348-8407

Interoperability endpoints

  • Direct secure messaging: lpisaniello@hiemail.healtheconnections.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1043218951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST FL 3",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671297",
            "telephone_number": "315-376-5287",
            "fax_number": "315-376-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST FL 3",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671297",
            "telephone_number": "315-376-5287",
            "fax_number": "315-376-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANIELLO",
        "first_name": "MARTHA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "180587",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "180587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01175575",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN/PIN",
            "identifier": "54933B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "MATTESON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.