DR. THOMAS LYLE MARTIN (DO) – Gastroenterology Physician, NPI 1417908922
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
161 GASTROENTEROLOGY in IA
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Provider Addresses for DR. THOMAS LYLE MARTIN (DO)
Iowa Endoscopy Center, 1378, Northwest 124th Street, Clive, Polk County, Iowa, 50325, United States
SUITE 200
CLIVE, IA 503258151
Phone: (515) 288-6097
Fax: (515) 288-6099
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 37 Open Payments records for all available years, with a total value of $630.
Total Amount is formed as General ($630) + Research ($0) + Ownership ($0) = $630.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($248).
Total Amount
$630
General + Research + Ownership
Payments
37
Total payment records
General Amount
$630
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $248 |
| Celgene Corporation | $88 |
| PFIZER INC. | $30 |
| Boston Scientific Corporation | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | $30 |
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: 2006-06-30
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 |
|---|---|---|---|---|
| I20060630000142 | I | Gastroenterology | IA | 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 |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 181 | 171 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 75 | 71 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 74 | 74 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 65 | 63 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 60 | 60 | $0 |
Insurance plans in this area (ZIP 50325)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| G A S T R O E N T E R O L O G Y | MD | |
| Nurse Practitioner | IA | |
| - | IA | |
| G A S T R O E N T E R O L O G Y | IA | |
| Internal Medicine, Gastroenterology | IA | |
| Nurse Practitioner | IA | |
| Gastroenterology, Internal Medicine | CO | |
| G A S T R O E N T E R O L O G Y | MI | |
| Nurse Practitioner | IA |
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