SCOTT LANIER MARTIN (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1750619243
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,866 FAMILY PRACTICE in IN
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Provider Addresses for SCOTT LANIER MARTIN (D.O.)
19400 N CREEK DR
LYNWOOD, IL 604119608
Phone: (708) 474-0410
Fax: (708) 474-0328
Type: Mailing
Sierra Drive, Greenwood, Johnson County, Indiana, 46142:46227, United States
STE 400
GREENWOOD, IN 461437240
Phone: (317) 528-4248
Fax: (317) 865-8314
Type: Location
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: 2024-02-14
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240214002008 | I | Family Practice | NC | 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 | 112 | 106 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 60411)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | TX | |
| Internal Medicine | PA | |
| Clinical Psychologist | TX | |
| - | GA | |
| - | TN | |
| - | PA | |
| Internal Medicine | GA | |
| Mental Health Counselor | TX | |
| - | FL | |
| - | VA |
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