SETH MICHAEL MARTIN – MOHS-Micrographic Surgery Physician, NPI 1801355862
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in UT
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Provider Addresses for SETH MICHAEL MARTIN
3341, Spaulding Orchard Road, Springfield, Sangamon County, Illinois, 62707, United States
SPRINGFIELD, IL 627117304
Phone: (217) 622-8205
Type: Mailing
Cottonwood Street, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841075701
Phone: (801) 507-7000
Type: Location
424 LILLY RD NE
OLYMPIA, WA 985065132
Phone: (360) 459-1700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $659.
Total Amount is formed as General ($659) + Research ($0) + Ownership ($0) = $659.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Organogenesis Inc. ($292).
Total Amount
$659
General + Research + Ownership
Payments
17
Total payment records
General Amount
$659
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $292 |
| ABBVIE INC. | $175 |
| Kerecis Limited | $126 |
| Smith+Nephew, Inc. | $27 |
| LEO Pharma Inc. | $22 |
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: 2025-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230911001493 | I | Dermatology | AL | TBD |
| I20240924001399 | I | Micrographic Dermatologic Surgery (Mds) | AR | TBD |
| I20250707002912 | I | Dermatology | WA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 70 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 25 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 20 | 20 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 15 | 15 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 15 | 15 | $0 |
Insurance plans in this area (ZIP 62711)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| D E R M A T O L O G Y | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Physician Assistant | OR | |
| Physician Assistant | WA |
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