Active NPI
Garrett R Martin, MD
- Orthopaedic Surgery Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 010448
- Practice address
- 78 Ridgewood Dr
Bangor, ME 04401-2652 - Phone
- (207) 307-8902
- Fax
- (207) 307-8912
- NPI assigned
- Jun 9, 2005
- Last updated
- Jul 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 010448 | ME | Primary |
Addresses
Primary practice location
78 Ridgewood Dr
Bangor, ME 04401-2652
Mailing address
78 Ridgewood Dr
Bangor, ME 04401-2652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.67 of 100
- Quality
- 70.75
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 66.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010448 | ME | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Orthopedic Assoc PA | Orthopaedic Surgery | Current | Accepting new patients |
| Acadia Medical Arts Ambulatory Surgical Suite | Current | Accepting new patients | |
| Bangor Nursing & Rehabilitation Center | Past | Accepting new patients |
Locations
404 State St
Bangor, ME 04401
Phone (207) 947-8381
78 Ridgewood Dr
Bangor, ME 04401
Phone (207) 947-0768
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bangor Nursing & Rehabilitation Cen | Skilled nursing facility | Corporate Director | Jan 1, 2013 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Bangor, ME
- NPI 1366431694
Corporate Director
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Bangor, ME
- NPI 1407867583
-
- Skilled Nursing Facility
- Bangor, ME
- NPI 1366431694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1669476438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-307-8902",
"fax_number": "207-307-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GARRETT",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "010448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.