ANDREW D MARTIN (DPM) – Podiatrist, NPI 1720061179

ANDREW D MARTIN (DPM) is a healthcare provider. based in Oak lawn, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016005084 (IL). The NPI Number for ANDREW D MARTIN (DPM) is 1720061179

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW D MARTIN (DPM)
NPI
1720061179
Phone
(708) 424-3201
Address
4650 SOUTHWEST HWY
Enumeration Date
21 November 2005
Last Update Date
16 July 2008

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8475045000
Graduation Year
1998 (28 years ago)
PAC ID
5597958538
Group Practice PAC ID
3971412677
Professional Enrollment ID
I20150609002003
Address ID
IN460111027AN1209XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

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Provider Addresses for ANDREW D MARTIN (DPM)

  • 4650, Southwest Highway, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 60453

    Phone: (708) 424-3201

    Fax: (708) 424-5001

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101021001334IPodiatryILTBD
I20150609002003IPodiatryINTBD

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
G0127Trimming of dystrophic nails, any number1,645606$0
11720Removal of fingernails or toenails, 1-5 nails1,312485$0
11721Removal of fingernails or toenails, 6 or more nails881433$0
11055Removal of noncancer thickened skin growth, 1 growth485214$0
11056Removal of noncancer thickened skin growth, 2-4 growths20076$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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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: 3971412677View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YIL
P O D I A T R YMA
-IL
-IL
P O D I A T R YNY
P O D I A T R YMO
P O D I A T R YIL
P O D I A T R YMI

Reviews

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Frequently asked questions

What federal number belongs to ANDREW D MARTIN (DPM)?
The federal identifier for ANDREW D MARTIN (DPM) is NPI 1720061179.
Is ANDREW D MARTIN (DPM) active in the national directory?
ANDREW D MARTIN (DPM)'s public NPI profile is in an active state.
Can you summarize ANDREW D MARTIN (DPM)'s specialty in plain language?
Clinically, the directory lists ANDREW D MARTIN (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where is ANDREW D MARTIN (DPM)'s primary listing?
We display Oak Lawn, Illinois because that is what the record indicates for ANDREW D MARTIN (DPM).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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