DR. JOHN GERARD MARTELL (OPTOMETRIST) – Optometrist, NPI 1093853160

DR. JOHN GERARD MARTELL (OPTOMETRIST) is a healthcare provider. based in South burlington, Vermont. specializing in OPTOMETRY. They hold the professional credentials OPTOMETRIST. They hold a License No. 03000259 (VT). The NPI Number for DR. JOHN GERARD MARTELL (OPTOMETRIST) is 1093853160

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN GERARD MARTELL (OPTOMETRIST)
NPI
1093853160
Phone
(802) 863-3062
Address
155 DORSET ST
Enumeration Date
2 February 2007
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8024970338
Graduation Year
1985 (41 years ago)
PAC ID
6709860323
Group Practice PAC ID
6608264734
Professional Enrollment ID
I20040614000307
Address ID
VT054036238SO150XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

114 OPTOMETRY in VT

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Provider Addresses for DR. JOHN GERARD MARTELL (OPTOMETRIST)

  • University Mall, 155, Dorset Street, Dorset Street Retail Zone, South Burlington, Chittenden County, Vermont, 05403, United States

    UNIVERSITY MALL

    SOUTH BURLINGTON, VT 054036346

    Phone: (802) 863-3062

    Fax: (802) 863-6100

    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: 2004-06-14

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
I20040614000307IOptometryVTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05403)

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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: 6608264734View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JOHN GERARD MARTELL (OPTOMETRIST)?
NPI 1093853160 is assigned to DR. JOHN GERARD MARTELL (OPTOMETRIST) under the national enumeration system.
Is DR. JOHN GERARD MARTELL (OPTOMETRIST) currently active in the NPI registry?
CMS-published data lists DR. JOHN GERARD MARTELL (OPTOMETRIST) as an active registrant.
Does DR. JOHN GERARD MARTELL (OPTOMETRIST) list a primary specialty?
If you are matching referrals, note Optometrist for DR. JOHN GERARD MARTELL (OPTOMETRIST). Clinical services aligned with this taxonomy classification.
Where is DR. JOHN GERARD MARTELL (OPTOMETRIST)'s primary listing?
We display South Burlington, Vermont because that is what the record indicates for DR. JOHN GERARD MARTELL (OPTOMETRIST).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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