NPIMap

Individual provider Active NPI

Martin Gerard Ferrillo, DO

  • Interventional Pain Medicine Physician
  • Albany, NY
National Provider Identifier
1598725673
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
237045 Issued in NY
Practice address
116 Everett Rd
Albany, NY 12205-1427
Phone
(518) 463-0171
Fax
(518) 463-0174
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 237045 NY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 237045 NY

Addresses

Primary practice location

116 Everett Rd
Albany, NY 12205-1427

Mailing address

116 Everett Rd
Albany, NY 12205-1427
Phone (518) 463-0171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060607000164 NY Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3971514050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Pain Management Services PLLCGroup PAC ID 5395701544, 15 clinicians

Practice addresses (Care Compare)

116 Everett Rd
Albany Center for Pain Management
Albany, NY 12205-1427
Phone (518) 463-0171

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

Merit-based Incentive Payment System (MIPS)

Final score
29.9 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
73.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Pain Management Services, PLLC Pain Medicine CurrentSince Jul 1, 2006 Accepting new patients
Sand Creek Medical PC PastSince Jul 1, 2006 Accepting new patients

Locations

116 Everett Rd
Albany, NY 12205
Phone (518) 463-0171

375 Bay Rd
Ste 103
Queensbury, NY 12804
Phone (518) 371-0777

3 Care Ln
Saratoga Springs, NY 12866
Phone (518) 226-6000

Interoperability endpoints

  • Direct secure messaging: mferrillo@ascpm.medentdirect.com

Organizations & group practices 2

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1598725673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051427",
            "telephone_number": "518-463-0171",
            "fax_number": "518-463-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051427",
            "telephone_number": "518-463-0171",
            "fax_number": "518-463-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRILLO",
        "first_name": "MARTIN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "237045",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "237045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.