Martin Daniel McDermott, M.D.
Individual provider Active NPI Family Medicine Physician · Fort Lupton, CO
NPI 1699784181 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699784181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27735 (CO)
- Practice address
- 327 Park Ave
Fort Lupton, CO 80621-1929 - Phone
- (303) 857-2711
- Fax
- (303) 857-1408
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1970
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
327 Park Ave
Fort Lupton, CO 80621-1929
Hospital & facility affiliations
- Accentcare Home Health of Mountain Valley LLC
- Centerwell Home Health
- Intermountain Health Platte Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20060316000185 | CO | Practitioner - Family Practice | 8729013206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27735 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin McDermott MD PC | Family Medicine | Current |
Accepting new patients |
Locations
327 Park Ave
Fort Lupton, CO 80621
Phone (303) 857-2711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27735 | CO | Yes |
Addresses
Primary practice location
327 Park Ave
Fort Lupton, CO 80621-1929
Mailing address
327 Park Ave
Fort Lupton, CO 80621-1929
Phone (303) 857-2711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01277359 | Medicaid | CO |
Other providers in Fort Lupton, CO
- Donesha L Lujan
- Jaime Macelroy
- Monica Manning
- Martin McDermott MD PC
- Benjamin A Martin
- Hannah Meyer
- Stephanie N Miller
- Hadley Lyn Montoya
- Steven Michael Moore
- Michael Moro
All providers in Fort Lupton, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.