MARTHA JANE PIERCE M.D.
NPI 1295716827
Specialist in Frederick, MD
NPI Status: Active since November 10, 2005
Contact Information
300 W 9TH ST
FREDERICK, MD
ZIP 21701
Phone: (301) 662-8119
Fax: (301) 696-0985
- Individual
- Female
- Specialist
- PECOS Enrolled
- Opted-Out Medicare
About MARTHA PIERCE
This page provides the complete NPI Profile along with additional information for Martha Pierce, a provider established in Frederick, Maryland with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1295716827 assigned on November 2005. The practitioner's primary taxonomy code is 174400000X with license number D046248 (MD). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1295716827
- Provider Name
- MARTHA JANE PIERCE M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 W 9TH ST FREDERICK, MD 21701
- Location Phone
- (301) 662-8119
- Location Fax
- (301) 696-0985
- Mailing Address
- 300 W 9TH ST FREDERICK, MD 21701
- Mailing Phone
- (301) 662-8119
- Mailing Fax
- (301) 696-0985
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-10-2005
- Last Update Date
- 05-12-2008
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Martha Pierce opted out of Medicare effective on 04-01-2015 until 04-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- D046248
- License State
- MD
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295716827 | OTHER (01) | MD | MEDICAID NPI |
| B130 | MEDICARE PIN (08) | MD | |
| 110225732 | OTHER (01) | MD | MEDICARE RAILROAD |
| 148721300 | MEDICAID (05) | MD | |
| F46248 | MEDICARE UPIN (02) | MD |
Medicare Participation & PECOS Enrollment Status
Martha Pierce is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2015
Opt-Out End Date: 04-01-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 7 | 1 | 6 | 8 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 14 | 1 | 12 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 4 + 1 + 1 + 2 + 8 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1295716827 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063493609 | CASPER EZRA CLINE M.D. Individual | Specialist | 300 W 9TH ST FREDERICK, MD 21701 (301) 662-8119 |
| 1720069214 | ALI JAMES AFROOKTEH M.D. Individual | Specialist | 300 W 9TH ST FREDERICK, MD 21701 (301) 662-8119 |
| 1851492276 | INTERNAL MEDICINE ASSOCIATES PA Organization | Internal Medicine | 300 W 9TH ST FREDERICK, MD 21701 (301) 662-8119 |
| 1700867355 | ALBERT AUSTIN PEARRE JR. M.D. Individual | Specialist | 300 W 9TH ST FREDERICK, MD 21701 (301) 662-8119 |
| 1922487792 | MONOCACY HEALTH PARTNERS LLC Organization | Internal Medicine | 300 W 9TH ST FREDERICK, MD 21701 (301) 662-8119 |
| 1972040244 | CAROLYN MARIE WEST LCSW-C Individual | Social Worker (Clinical) | 300 W 9TH ST FREDERICK, MD 21701 (301) 662-8119 |
| 1376030122 | MS. SUSAN ELIZABETH GORDON LCADC-C Individual | Counselor (Addiction (Substance Use Disorder)) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1225508146 | KIM MARIE LONG LCPC Individual | Counselor (Professional) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1427528207 | MRS. KRISTI RENEE HALLMAN LCSW-C Individual | Social Worker (Clinical) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1174184790 | MIRIAM LOPEZ Individual | Social Worker | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1437453651 | ASSOCIATED CATHOLIC CHARITIES, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1952898306 | ASSOCIATED CATHOLIC CHARITIES, INC. Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1346538584 | MS. ABIGAIL BELGRAVE LCSW-C Individual | Social Worker (Clinical) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1063020402 | DAISY LOPEZ-DUKE LGPC Individual | Counselor (Mental Health) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1396353710 | CAITLIN PALANK Individual | Counselor (Mental Health) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-2199 |
| 1851909196 | KATRINA CUTSHALL LMSW Individual | Social Worker | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
| 1831793504 | MARIAH GLADYS RUFFIN LMSW Individual | Social Worker | 300 W 9TH ST FREDERICK, MD 21701 (301) 642-8454 |
| 1316696594 | MISS OLIVIA VIOLET OATES LGPC Individual | Counselor (Professional) | 300 W 9TH ST FREDERICK, MD 21701 (443) 221-1432 |
| 1831750116 | JEFFREY ALEXANDER THOMPSON Individual | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 | |
| 1609567072 | WILLIAM MAGDALIN LMSW Individual | Social Worker (Clinical) | 300 W 9TH ST FREDERICK, MD 21701 (667) 600-3310 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295716827, enumerated in the NPI registry as an "individual" on November 10, 2005
The provider is located at 300 W 9th St Frederick, Md 21701 and the phone number is (301) 662-8119
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
No, the provider signed an affidavit on April 01, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 01, 2025.
This NPI record was last updated on November 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.