DR. JAMES F MARTONE (MD) – Ophthalmology Physician, NPI 1649242603
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 OPHTHALMOLOGY in CT
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Provider Addresses for DR. JAMES F MARTONE (MD)
2880, Old Dixwell Avenue, Centerville, Hamden, South Central Connecticut Planning Region, Connecticut, 06518, United States
HAMDEN, CT 06518
Phone: (203) 248-6365
Fax: (203) 281-2742
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $571.
Total Amount is formed as General ($571) + Research ($0) + Ownership ($0) = $571.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($571).
Total Amount
$571
General + Research + Ownership
Payments
7
Total payment records
General Amount
$571
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $571 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091125000118 | I | Ophthalmology | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 72 | $0 |
| 92083 | Exam of visual field with extended testing | 88 | 53 | $0 |
| 92133 | Imaging of optic nerve | 48 | 44 | $0 |
| 92250 | Photography of the retina | 40 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 06518)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | CT | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 827 | 455 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| H E M A T O L O G Y/ O N C O L O G Y | CT | |
| Internal Medicine, Nephrology | SC | |
| - | CT | |
| - | NC | |
| Internal Medicine | CT | |
| - | CT | |
| Cardiac Surgery | CT | |
| - | CT | |
| - | CT |
Reviews
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