Active NPI
Luke A Martin, M.D.
- Surgery Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 8791046-1205
- Practice address
- 2200 NE Neff Rd Ste 302
Bend, OR 97701-4279 - Phone
- (541) 548-7761
- Fax
- (541) 598-3485
- NPI assigned
- Apr 4, 2012
- Last updated
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8791046-1205 | UT | Primary |
| Surgery Physician | 208600000X | 65217 | MN | |
| Colon & Rectal Surgery Physician | 208C00000X | 65217 | MN | |
| Colon & Rectal Surgery Physician | 208C00000X | 8791046-1205 | UT |
Addresses
Primary practice location
2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Mailing address
2015 S Douglas St
Salt Lake City, UT 84105-3607
Phone (512) 785-0621
Other practice location 1
3433 Broadway St NE Ste 115
Minneapolis, MN 55413-1759
Phone (512) 785-0621
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmartin231944@secure.stcharleshealthcare.org | ||
| Direct Messaging Address | lmartin50146@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Texas Medical School at Houston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Teton Valley Health Care Inc
Practice addresses (Care Compare)
2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321
283 N 1St St
Driggs, ID 83422-5109
Phone (208) 354-2302
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65217 | MN | MD | Surgery Physician |
| 8791046-1205 | UT | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Valley Health Care Inc | Surgery | Current | Accepting new patients |
| Teton Valley Health Care, Inc | Current | Accepting new patients | |
| Tooele Clinic Corp | Surgery | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Surgery | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Surgery | Past | Accepting new patients |
| Medical Imaging Associates of Idaho Falls, Inc | Past | Accepting new patients |
Locations
120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302
283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
196 E 2000 N
Ste 109
Tooele, UT 84074
Phone (435) 843-2723
2321 N 400 E
Ste 300
Tooele, UT 84074
Phone (435) 833-9180
Interoperability endpoints
- lmarti01@yourcarecommunity.org
- lmartin50146@direct.med.utah.edu
- luke.martin.1@15468.direct.athenahealth.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Charles Medical Group
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
dba Driggs Clinic
- Rural Health Clinic/Center
- Driggs, ID
- NPI 1013264183
Surgery
-
dba Teton Valley Health Care
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba Teton Valley Health Care Swing Bed Unit
- Medicare Defined Swing Bed Hospital Unit
- Driggs, ID
- NPI 1053669598
-
dba Victor Clinic
- Rural Health Clinic/Center
- Victor, ID
- NPI 1801143029
Surgery
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
dba University of Utah Hospital Pathology Department
- Anatomic Pathology & Clinical Pathology Physician
- Salt Lake City, UT
- NPI 1912301714
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
dba Teton Valley Health Care
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1659637502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 S DOUGLAS ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053607",
"telephone_number": "512-785-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD STE 302",
"city": "BEND",
"state": "OR",
"postal_code": "977014279",
"telephone_number": "541-548-7761",
"fax_number": "541-598-3485"
}
],
"practiceLocations": [
{
"address_1": "3433 Broadway St NE Ste 115",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554131759",
"country_code": "US",
"telephone_number": "512-785-0621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "LUKE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "8791046-1205",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "65217",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MN",
"license": "65217",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "UT",
"license": "8791046-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmartin231944@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2200 NE Neff Rd Ste 302",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977014279",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmartin50146@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.