Active NPI
Michael Martin Hatch, M.D.
- Dermatology Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- S8999
- Practice address
- 7106 Sanger Rd
Waco, TX 76712-3928 - Phone
- (542) 537-1265
- NPI assigned
- Mar 25, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | S8999 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | S8999 | TX | Primary |
Addresses
Primary practice location
7106 Sanger Rd
Waco, TX 76712-3928
Mailing address
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 Compare- Specialty
- Dermatology
- Education
- Texas Tech University Health Science Center School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 76.91
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 77.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 94 |
| Removal of skin lesions | 513 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 228 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology PA | Dermatology | Current | Accepting new patients |
| Epiphany Dermatology of Georgia, LLC | Dermatology | Past | Accepting new patients |
| Academy Dermatologists Group LLC | Dermatology | Past | Accepting new patients |
| Nocturna of Waco LP | Past | Accepting new patients |
Locations
20800 W Market St
Buckeye, AZ 85396
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306
2405 Clear Creek Rd
Ste 104
Killeen, TX 76549
Phone (254) 432-8330
211 N Industrial Dr
Waco, TX 76710
Phone (254) 424-9127
7106 Sanger Rd
Woodway, TX 76712
Phone (254) 537-1265
Interoperability endpoints
- martin.hatch@epiphanyderm.emadirect.md
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.
-
- Dermatology Physician
- Waco, TX
- NPI 1043615263
-
- Sleep Disorder Diagnostic Clinic/Center
- Waco, TX
- NPI 1821250259
-
- Procedural Dermatology Physician
- Tucson, AZ
- NPI 1144588047
-
- Dermatology Physician
- Fayetteville, GA
- NPI 1265544357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1831551092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7106 SANGER RD",
"city": "WACO",
"state": "TX",
"postal_code": "767123928",
"telephone_number": "542-537-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "MICHAEL",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-25",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "TX",
"license": "S8999",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "S8999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.