DR. SAMUEL PRESTON IV MARTIN (M.D.) – Surgery Physician, NPI 1124028436

DR. SAMUEL PRESTON IV MARTIN (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. ME31846 (FL). The NPI Number for DR. SAMUEL PRESTON IV MARTIN (M.D.) is 1124028436

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL PRESTON IV MARTIN (M.D.)
NPI
1124028436
Phone
(407) 244-8559
Address
1200 EDGEWATER DR
Enumeration Date
28 July 2005
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4072448560
Graduation Year
1972 (54 years ago)
PAC ID
8921069865
Group Practice PAC ID
5294796132
Professional Enrollment ID
I20041103001163
Address ID
FL328046314OR1200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

490 VASCULAR SURGERY in FL

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Provider Addresses for DR. SAMUEL PRESTON IV MARTIN (M.D.)

  • 1200, Edgewater Drive, College Park, Orlando, Orange County, Florida, 32804, United States

    ORLANDO, FL 328046314

    Phone: (407) 244-8559

    Fax: (407) 244-8560

    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 5 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($88).

Total Amount

$102

General + Research + Ownership

Payments

5

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041103001163IVascular SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg46,20051$0
36478Laser destruction of incompetent vein of arm or leg using imaging guidance376183$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance334155$0
93970Ultrasound study of arm or leg veins with compression and maneuvers328306$0
20610Aspiration and/or injection of fluid from large joint32657$0
View full utilization report →

Insurance plans in this area (ZIP 32804)

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Provider's Procedures

DR. SAMUEL PRESTON IV MARTIN (M.D.) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYFL93922Ultrasound study of arteries of both arms and legs2121
VASCULAR SURGERYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4036

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294796132View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Physician AssistantFL
-FL
Nurse PractitionerFL
General SurgeryFL

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Frequently asked questions

What is the standard ID for DR. SAMUEL PRESTON IV MARTIN (M.D.) in the U.S.?
In the U.S., DR. SAMUEL PRESTON IV MARTIN (M.D.) is identified by NPI 1124028436.
Does the public listing show DR. SAMUEL PRESTON IV MARTIN (M.D.) as active?
DR. SAMUEL PRESTON IV MARTIN (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. SAMUEL PRESTON IV MARTIN (M.D.)'s listing?
DR. SAMUEL PRESTON IV MARTIN (M.D.)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. SAMUEL PRESTON IV MARTIN (M.D.) tied to Orlando, Florida?
If you are local to Orlando, Florida, DR. SAMUEL PRESTON IV MARTIN (M.D.) may be relevant to your search.
Who maintains DR. SAMUEL PRESTON IV MARTIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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