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Dr. Thomas J Martin , MD

Pediatrics β€’ Hershey, PA

Active NPI 1225006984 Individual Practitioner Male Practitioner
Practice location in NPPES

500 University Dr
Hershey, PA 170332360

Call 8002431455 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

500 University Dr

Hershey, PA 170332360

Telephone 8002431455
Organization at the Same NPPES Address or Phone
The Milton S Hershey Medical Center Facility NPI 1568435477

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes 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 Hershey and Pennsylvania

101 active clinicians are listed under Pediatrics with a practice address in Hershey, PA (3,383 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hershey

1% of these 101 clinicians have the CMS telehealth indicator.

11.9% of these 101 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WI 72285

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES PA MD027820L

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Sports Medicine

NUCC Taxonomy Code: 2080S0010X

License # reported to NPPES PA MD027820L

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES PA MD027820L

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0006915270007 (PA)
Other Identifier Healthamerica
D68464 (PA)
Other Identifier Aetna
5373568 (PA)
Other Identifier Highmark Blue Shield
014648 (PA)
Other Identifier Geisinger Health Plan
159 (PA)
Other Identifier Unitedhealthcare
2517527 (PA)
Other Identifier First Priority Health
002673 (PA)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20040726001377

Enrollment State Jurisdiction

PA

PECOS Control ID

2769452002

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.

Clinicians Sharing This Practice Address or Phone

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

21 listed
Victor Abarca , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003575853

Certified Registered Nurse Anesthetist

Dr. Tarik Ali , MD

Surgery - Vascular Surgery

NPI 1003172867

Doctor of Medicine (M.D.)

Dr. Joan Bartolomeo , DO

Internal Medicine - Infectious Disease

NPI 1013409622

Doctor of Osteopathic Medicine (D.O.)

Dr. Kelsey Coleman , DO

Psychiatry & Neurology - Neurology

NPI 1013409119

Doctor of Osteopathic Medicine (D.O.)

NPI 1023245495

Doctor of Medicine (M.D.)

Dr. Issam El Bizri , MD

Family Medicine - Geriatric Medicine

NPI 1013114131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2019

Pediatrics (license number reported to NPPES: WI 72285)

βœ…
NPI Profile Active October 30, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2013

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 8002431455)

πŸ“
Business Mailing Address (Initial Record) October 30, 2013

Registered at PO BOX 858, HERSHEY, PA 170330858 (Tel: 8002431455)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2013

Recorded as THOMAS MARTIN, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2013

Pediatrics (license number reported to NPPES: PA MD027820L)

🟒
Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225006984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: December 02, 2019
Sole Proprietor: No

Other Pediatrics Specialists in Hershey

All Pediatrics Specialists in Hershey

Mailing Address

Po Box 858

Hershey, PA 170330858

Phone: 8002431455

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.