NPIMap

Individual provider Active NPI

Eric Martin, M.D.

  • Urology Physician
  • Medford, OR
National Provider Identifier
1760587372
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD18457 Issued in OR
Practice address
2900 Doctors Park Dr
Suite 100
Medford, OR 97504-8198
Phone
(541) 772-6600
Fax
(541) 842-9618
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD18457 OR Primary

Addresses

Primary practice location

2900 Doctors Park Dr
Suite 100
Medford, OR 97504-8198

Mailing address

2900 Doctors Park Dr
Suite #100
Medford, OR 97504-8198
Phone (541) 772-6600

Other practice location 1

3100 NE 28th St Ste B
Lincoln City, OR 97367-4524
Phone (541) 557-6417

Other identifiers 2

IdentifierTypeStateIssuer
001930001OtherORBLUE CROSS BLUE SHIELD ID
18457MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emartin251774@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090529000095 OR Practitioner - Urology 3173628328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Oregon Health Sciences University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan North Lincoln HospitalGroup PAC ID 7911816301, 42 clinicians

Practice addresses (Care Compare)

3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

Hospital & facility affiliations

  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.23
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan North Lincoln Hospital CurrentSince Nov 1, 2022 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Nov 1, 2022 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients

Locations

3100 NE 28th St
#B
Lincoln City, OR 97367
Phone (541) 768-6930

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

Interoperability endpoints

  • Direct secure messaging: emartin251774@samhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1760587372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "address_2": "SUITE #100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-772-6600",
            "fax_number": "541-842-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "address_2": "SUITE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-772-6600",
            "fax_number": "541-842-9618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 NE 28th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674524",
            "country_code": "US",
            "telephone_number": "541-557-6417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD18457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "001930001",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18457",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emartin251774@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3100 NE 28th St Ste B",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973674524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.