NPIMap

Individual provider Active NPI

Trevor Brett Martenson, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1346347218
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD436492 Issued in PA
Practice address
555 North Duke Street
Lancaster, PA 17602-2250
Phone
(717) 544-8144
Fax
(717) 544-8140
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD436492 PA Primary

Addresses

Primary practice location

555 North Duke Street
Lancaster, PA 17602-2250

Mailing address

555 North Duke Street
Lancaster, PA 17602-2250
Phone (717) 544-8144

Other identifiers 1

IdentifierTypeStateIssuer
27951529MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091110000354 PA Practitioner - Family Practice 6103964267 Reassigns benefits to 3 organizations
I20170913001907 TX Practitioner - Family Practice 6103964267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

51 Peters Rd
Suite 101
Lititz, PA 17543-7685
Phone (717) 627-7687

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zuni Indian Hospital CurrentSince Aug 28, 2017 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Nov 3, 2022 Accepting new patients
Lancaster General Hospital CurrentSince Aug 23, 2021 Accepting new patients
Lancaster General Health - Columbia Center Family Medicine Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

51 Peters Rd
Ste 101
Lititz, PA 17543
Phone (717) 381-5246

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Organizations & group practices 8

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1346347218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NORTH DUKE STREET",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-8144",
            "fax_number": "717-544-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NORTH DUKE STREET",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-8144",
            "fax_number": "717-544-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENSON",
        "first_name": "TREVOR",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD436492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27951529",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.