EDWARD B MARTIN - CHAFEE (MD) – Pediatric Cardiology Physician, NPI 1295728848

EDWARD B MARTIN - CHAFEE (MD) is a healthcare provider. based in St cloud, Minnesota. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 34891 (MN). The NPI Number for EDWARD B MARTIN - CHAFEE (MD) is 1295728848

Main info

Male
39 Years Of Experience
Name
EDWARD B MARTIN - CHAFEE (MD)
NPI
1295728848
Phone
(320) 251-2700
Address
1200 SIXTH AVE N
Enumeration Date
30 August 2005
Last Update Date
23 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
3207344632
Graduation Year
1987 (39 years ago)
PAC ID
3870508575
Group Practice PAC ID
4284539453
Professional Enrollment ID
I20060216000471
Address ID
MN562622416MI237XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

717 PEDIATRIC MEDICINE in MN

Provider Addresses for EDWARD B MARTIN - CHAFEE (MD)

  • 1200 SIXTH AVE N

    ST CLOUD, MN 563032735

    Phone: (320) 251-2700

    Fax: (320) 240-2118

    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: 2006-02-16

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
I20060216000471IPediatric MedicineMNTBD

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
93325Ultrasound of heart with color-depicted blood flow, rate and valve function1111$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 4284539453View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCT
-MN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Family PracticeMN
Family Practice, Internal MedicineMN
Certified Nurse Midwife (Cnm)MN

Reviews

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Frequently asked questions

What unique ID ties claims to EDWARD B MARTIN - CHAFEE (MD)?
NPI 1295728848 is assigned to EDWARD B MARTIN - CHAFEE (MD) under the national enumeration system.
Does this profile mean EDWARD B MARTIN - CHAFEE (MD) is currently active?
Yes — EDWARD B MARTIN - CHAFEE (MD) appears active in the national provider directory.
Does EDWARD B MARTIN - CHAFEE (MD) list a primary specialty?
If you are matching referrals, note Pediatric Cardiology Physician for EDWARD B MARTIN - CHAFEE (MD). Clinical services aligned with this taxonomy classification.
Where is EDWARD B MARTIN - CHAFEE (MD)'s primary listing?
We display St Cloud, Minnesota because that is what the record indicates for EDWARD B MARTIN - CHAFEE (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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