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Dr. Shane Douglas Martin , DO

Surgery • Midland, MI

Active NPI 1386872588 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4201 Campus Ridge Drive
Midland, MI 48640

Call 9898391795 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4201 Campus Ridge Drive

Midland, MI 48640

Telephone 9898391795
Fax 9898391785
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mymichigan Medical Center Midland. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2009

Medicare patients

231 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $35,395 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $28,886 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

386 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$6,927 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2022

All general payments: $139.74 across 5 records.

By nature of payment

  • Food and Beverage: $139.74 across 5 records.

Reporting-company totals

  • Intuitive Surgical, Inc.: $81.33 across 2 records.
  • Smith+Nephew, Inc.: $58.41 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Martin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Martin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Midland and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: 144. Middle half: 68 to 296.

Too few clinicians listed under Surgery in Midland have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: $17,612. Middle half: $7,252 to $35,970.

Too few clinicians listed under Surgery in Midland have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: $13,542. Middle half: $5,545 to $28,363.

Too few clinicians listed under Surgery in Midland have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Surgery in Michigan (2024, 639 clinicians with data). Median for this group: 47. Middle half: 22 to 106.

Too few clinicians listed under Surgery in Midland have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Surgery in Michigan (2024, 639 clinicians with data). Median for this group: $224. Middle half: $58 to $1,388.

Too few clinicians listed under Surgery in Midland have Medicare Part D data for 2024 to compare.

10 active clinicians are listed under Surgery with a practice address in Midland, MI (1,378 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2022
Disclosure Year:

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $139.74.

Manufacturer Payment Nature Product Type Amount ($)
Intuitive Surgical, Inc.
Food and Beverage
In-kind items and services
Da Vinci Surgical System General $46.52
Intuitive Surgical, Inc.
Food and Beverage
In-kind items and services
Da Vinci Surgical System General $34.81
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $22.34
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
Pico 14 General $22.20
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $13.87

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
50 28 $144.00 $75.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
38 38 $256.00 $127.80
45380 Biopsy of large bowel using a flexible endoscope
29 29 $976.00 $147.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $207.00 $78.74
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
21 21 $187.00 $79.45
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
18 18 $1086.00 $175.02
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
17 17 $1086.00 $169.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
16 16 $1499.00 $240.91
49650 Repair of groin hernia using an endoscope
15 15 $1165.07 $421.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $198.00 $92.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $256.00 $136.86

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 145 309 $260.58 144
Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl 99 112 $1,794.65 99
Peg-3350 And Electrolytes Peg3350/Sod Sulf,bicarb,cl/Kcl 76 97 $1,328.00 76
Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg 55 101 $1,826.28 54
Sutab Sod Sulf/Pot Chloride/Mag Sulf 11 18 $1,717.20 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MI 5101018126

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20130405000075

Enrollment State Jurisdiction

MI

PECOS Control ID

6507001906

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mymichigan Medical Center Midland

609 Quarter St, Gladwin, MI 486241941

Mymichigan Medical Center Midland

4500 Campus Ridge Dr, Midland, MI 486406123

Phone: 9898379250

Mymichigan Medical Center Midland

4000 Wellness Dr, Midland, MI 486702000

Phone: 9896338018

Mymichigan Medical Center Midland

515 Quarter St, Gladwin, MI 486241959

Phone: 9894269286

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Kristin Busch , MD

Colon & Rectal Surgery

NPI 1649566068

Doctor of Medicine (M.D.)

Brooke Hawkins , PA

Physician Assistant

NPI 1013641398

Physician Assistant

Michael Heuninckx , NP-C

Nurse Practitioner - Acute Care

NPI 1811356694

Nurse Practitioner (Certified)

NPI 1851501613

Doctor of Medicine (M.D.), Master of Science, Bachelor of Science

John Leroux , PA

Physician Assistant

NPI 1063746949

Physician Assistant

NPI 1821432006

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated June 25, 2009.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1386872588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2009
Last Update: November 03, 2016
Sole Proprietor: Yes

Other Surgery Specialists in Midland

Healthcare providers in Midland

Mailing Address

4201 Campus Ridge Drive

Midland, MI 48640

Phone: 9898391795

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.