Physician

David F Martin, MD

According to 2025 Medicare claims, David Martin, MD (NPI: 1063456069) practices gastroenterology in the Pinehurst-Southern Pines, NC market, with the plurality of this provider's patient population coming from Moore, NC. This provider's primary affiliated billing organization is PINEHURST MEDICAL CLINIC, INC. (NPI: 1255388369; TIN: 560942980) and primary practice location at 28374-8850. Martin is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645) and agilon health Mid-Atlantic ACO, Inc. (DBA: Senior Health Connect ACO 5) (ACO ID: D0156), participating under both the MSSP and REACH models.

Martin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 512 traditional Medicare patients, billed 22,637 HCPCS/CPT codes, and received $220,996 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 2,005 prescription claims across 629 beneficiaries totaling $1,530,552 in drug costs, led by Stelara (Ustekinumab). 2019 DME data shows 27 claims. Open Payments data shows 35 records totaling $947. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $349,841 to $220,996. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,303,410 and ending at $1,530,552. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$211K$423K2015 Medicare payment: $349,841 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $356,978 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $422,790 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $344,406 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $310,219 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $310,677 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $296,355 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $263,526 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $256,449 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $220,996 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,07715,394$349,841
20161,09431,762$356,978
201799043,910$422,790
20181,02636,700$344,406
201998226,363$310,219
202080232,715$310,677
202177526,043$296,355
202267021,517$263,526
202362919,976$256,449
202451222,637$220,996

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$848K$1.7M2015 Drug cost: $1,303,410 (USD; Tot_Drug_Cst)2016 Drug cost: $1,695,025 (USD; Tot_Drug_Cst)2017 Drug cost: $1,106,118 (USD; Tot_Drug_Cst)2018 Drug cost: $1,137,761 (USD; Tot_Drug_Cst)2019 Drug cost: $883,385 (USD; Tot_Drug_Cst)2020 Drug cost: $838,845 (USD; Tot_Drug_Cst)2021 Drug cost: $1,179,439 (USD; Tot_Drug_Cst)2022 Drug cost: $1,100,236 (USD; Tot_Drug_Cst)2023 Drug cost: $1,069,887 (USD; Tot_Drug_Cst)2024 Drug cost: $1,530,552 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157262,902$1,303,410
20167123,591$1,695,025
20176863,165$1,106,118
20187022,924$1,137,761
20196662,701$883,385
20206542,195$838,845
20216102,056$1,179,439
20226202,042$1,100,236
20236521,943$1,069,887
20246292,005$1,530,552

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.1K$4.3K2018 Medicare payment: $934 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,274 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R11$934
2019N/R27$4,274
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare165165$191
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more8291$84
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope108113$67
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more8191$55
36415Insertion of needle into vein for collection of blood sample102157$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
StelaraUstekinumab12672$336,649
Sandostatin Lar DepotOctreotide Acetate,mi-Spheres30840$280,313
CreonLipase/Protease/Amylase843,647$225,412
EntyvioVedolizumab11616$102,994
ZenpepLipase/Protease/Amylase21868$87,252

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.35$947ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for David F. Martin, MD?

Tedicare shows public-source Medicare data for David F. Martin, MD (NPI 1063456069), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does David F. Martin, MD have ACO affiliation data?

David F. Martin, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645) and agilon health Mid-Atlantic ACO, Inc. (DBA: Senior Health Connect ACO 5) (REACH, ACO ID D0156).

What billing organization is linked to David F. Martin, MD?

David F. Martin, MD is linked to PINEHURST MEDICAL CLINIC, INC. (billing NPI 1255388369) in the available physician profile data.

Does David F. Martin, MD have Open Payments data?

David F. Martin, MD has 35 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.