Luke A Martin, M.D.
Individual provider Active NPI Surgery Physician · Bend, OR
NPI 1659637502 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1659637502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 8791046-1205 (UT)
- 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
- St Charles Health System Inc
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
- Teton Valley Hospital
- St Charles Medical Center - Bend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in UT, ID, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629000936 | UT | Practitioner - General Surgery | 5395977995 | Reassigns benefits to 2 organizations |
| I20240220000085 | ID | Practitioner - General Surgery | 5395977995 | Reassigns benefits to 2 organizations |
| I20260417001225 | OR | Practitioner - General Surgery |
5395977995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65217 | MN | MD | Colon & Rectal Surgery Physician |
| 8791046-1205 | UT | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Valley Health Care Inc | 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 |
| Tooele Clinic Corp | Surgery | 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
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
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
- luke.martin.1@15468.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8791046-1205 | UT | Yes |
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmartin231944@secure.stcharleshealthcare.org | ||
| Direct Messaging Address | lmartin50146@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.