Individual provider Active NPI

Seth Michael Martin

  • MOHS-Micrographic Surgery Physician
  • Olympia, WA
National Provider Identifier
1801355862
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD70000526 Issued in WA
Practice address
424 Lilly Rd NE
Olympia, WA 98506-5132
Phone
(360) 459-1700
NPI assigned
Mar 18, 2019
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD70000526 WA Primary

Addresses

Primary practice location

424 Lilly Rd NE
Olympia, WA 98506-5132

Mailing address

424 Lilly Rd NE
Olympia, WA 98506-5132
Phone (360) 459-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AR, WA3 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
I20230911001493 AL Practitioner - Dermatology 9335564327 Reassigns benefits to 2 organizations
I20240924001399 AR Practitioner - Micrographic Dermatologic Surgery (MDS) 9335564327 Reassigns benefits to 1 organization
I20250707002912 WA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9335564327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
University of Virginia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Cancer Center, LLCGroup PAC ID 2961588900, 8 clinicians
Olympic Dermatology and Laser Clinic P SGroup PAC ID 5991791790, 6 clinicians

Practice addresses (Care Compare)

1444 E Stearns St
Suite 11
Fayetteville, AR 72703-4969
Phone (479) 718-7546

424 Lilly Rd NE
Olympia, WA 98506-5132
Phone (360) 459-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision153
Removal of skin lesions823
Removal of skin cancer626
Skin biopsy279

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Skin Cancer Surgery Center, LLC CurrentSince Apr 1, 2024 Accepting new patients
Advanced Dermatology & Skin Cancer Center, LLC CurrentSince Nov 1, 2024 Accepting new patients
Olympic Dermatology and Laser Clinic P S CurrentSince Jun 23, 2025 Accepting new patients
Aqua Dermatology of Alabama PC Mohs-Micrographic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

1401 Edwards Lake Rd
Birmingham, AL 35235
Phone (205) 853-3960

70 Midtown Park E
#A
Mobile, AL 36606
Phone (251) 289-1786

1940 Stonegate Dr
Ste 130
Vestavia Hls, AL 35242
Phone (205) 451-9481

1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919

1444 E Stearns St
Ste 11
Fayetteville, AR 72703
Phone (479) 718-7546

424 Lilly Rd NE
Olympia, WA 98506
Phone (360) 292-1708

Organizations & group practices 5

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 1

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1801355862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065132",
            "telephone_number": "360-459-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065132",
            "telephone_number": "360-459-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SETH",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD70000526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.