Samuel Preston Martin IV, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME31846 Issued in FL

Practice address

1200 Edgewater Dr
Orlando, FL 32804-6314

Phone

(407) 244-8559

Fax

(407) 244-8560

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Vascular Surgery

Education

Duke University School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Center of Orlando, P.a.Group PAC ID 5294796132, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: samuelmartin@vvc.allscriptsdirect.net

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.

• Vascular Center of Orlando, P.a.

  • Vascular Surgery Physician
  • Orlando, FL
  • NPI 1255331666
  Medicare reassignment Care Compare group NPD Authorized official
• Joint Regeneration and Rehabilitation Center LLC

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
  • NPI 1962920454
  Medicare reassignment NPD
• Orlando Cancer Center Inc

  • Medical Oncology Physician
  • Orlando, FL
  • NPI 1578510582
  NPD (past)
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1124028436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-244-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-244-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SAMUEL",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME31846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "060065287",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014987100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48967",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Louise Martin, APRN
• Melissa Martin, RBT
• Michael Martin, CRNA
• Patricia Mary Martin, DPT
• Rebecca Martin, ARNP
• Shaitia Martin, MD
• Stephanie Martin
• Susan Griffin Martin, MSN, FNP-BC
• Suzanne Greenleaf Martin, ARNP
• Victoria Martin

• Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.