Individual provider Active NPI

Luke A Martin, M.D.

  • Surgery Physician
  • Bend, OR
National Provider Identifier
1659637502
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8791046-1205 Issued in 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
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 SurgeryPractitioner - Colorectal Surgery (Proctology) 5395977995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
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 IncGroup PAC ID 8729111513, 379 clinicians
Teton Valley Health Care IncGroup PAC ID 3870744956, shared by 4 NPIs, 31 clinicians

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

LicenseStateTypeSpecialty
65217MNMDSurgery Physician
8791046-1205UTMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc Surgery Current Accepting new patients
Teton Valley Health Care, Inc CurrentSince Mar 1, 2024 Accepting new patients
Tooele Clinic Corp Surgery CurrentSince Feb 1, 2021 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Teton Valley Health Care Inc CurrentSince Mar 1, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Jun 23, 2020 Accepting new patients
Teton Valley Health Care, Inc Surgery CurrentSince Mar 1, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Jun 23, 2020 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

  • Direct secure messaging: lmarti01@yourcarecommunity.org
  • Direct secure messaging: lmartin50146@direct.med.utah.edu
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.