Active NPI
Thomas R. Martin, D.O.
- Family Medicine Physician
- Johnstown, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0076451
- Practice address
- 4846 Larimer Pkwy BLDG 1
Johnstown, CO 80534-9012 - Phone
- (970) 624-2830
- Fax
- (970) 624-2832
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 198419 | NY | |
| Family Medicine Physician | 207Q00000X | DR.0076451 | CO | Primary |
Addresses
Primary practice location
4846 Larimer Pkwy BLDG 1
Johnstown, CO 80534-9012
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01662335 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thomas.martin@direct.lourdes.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1130 Upper Fron St
Binghamton, NY 13901-1118
Phone (607) 772-2995
Hospital & facility affiliations
- Lourdes at Home Chha
- Twin Tier Home Health, Inc
- Our Lady of Lourdes Memorial Hospital, Inc
- United Health Services Hospitals, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198419 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients | |
| Twin Tier Pathology Associates, PC | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
1130 Upper Front St
Binghamton, NY 13905
Phone (607) 772-1995
276-280 Robinson St
Binghamton, NY 13904
Phone (607) 722-2769
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
Interoperability endpoints
- tmartin196827@direct-guthrie.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Clinical Pathology/Laboratory Medicine Physician
- Binghamton, NY
- NPI 1770577470
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Home Health Agency
- Vestal, NY
- NPI 1952306631
-
- Home Health Agency
- Johnson City, NY
- NPI 1760489405
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1811060353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4846 LARIMER PKWY BLDG 1",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805349012",
"telephone_number": "970-624-2830",
"fax_number": "970-624-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "THOMAS",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "198419",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0076451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01662335",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thomas.martin@direct.lourdes.com",
"affiliation": "N",
"endpointDescription": "Lourdes Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "276-280 Robinson St",
"city": "Binghamton",
"state": "NY",
"country_code": "US",
"postal_code": "139041659",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johnstown, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.