MR. DERRICK J SR. MARTIN (MD) – Internal Medicine Physician, NPI 1104980812
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. DERRICK J SR. MARTIN (MD)
South Florida Avenue, Fountain Heights, Lakeland, Polk County, Florida, 33803, United States
LAKELAND, FL 338034050
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Location
3810 NORTHDALE BLVD STE 150
TAMPA, FL 336241871
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Mailing
10770 SE 173RD ST
SUMMERFIELD, FL 344916851
Phone: (352) 425-7321
Fax: (352) 748-2700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $253.
Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.
Last reported payment date: 2023-09-11 • Largest payer in this snapshot: PFIZER INC. ($46).
Total Amount
$253
General + Research + Ownership
Payments
14
Total payment records
General Amount
$253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $46 |
| Amgen Inc. | $46 |
| Boston Scientific Corporation | $41 |
| Organogenesis Inc. | $36 |
| GlaxoSmithKline, LLC. | $33 |
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: 2008-06-25
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 |
|---|---|---|---|---|
| I20080625000375 | I | Internal Medicine | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 434 | 242 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 74 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 32 | 32 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 32 | 32 | $0 |
| 99497 | Advance care planning, first 30 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 33803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | PA | |
| Internal Medicine | SC | |
| Physician Assistant | AL | |
| Vascular Surgery, General Surgery | FL | |
| Physician Assistant | CT | |
| General Surgery | FL | |
| Internal Medicine | NJ | |
| General Surgery | FL | |
| Nurse Practitioner | FL | |
| P O D I A T R Y | FL |
Reviews
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