MARTIN A HANNON (MD) – Family Medicine Physician, NPI 1124029624

MARTIN A HANNON (MD) is a healthcare provider. based in Rogers, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E3067 (AR). The NPI Number for MARTIN A HANNON (MD) is 1124029624

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARTIN A HANNON (MD)
NPI
1124029624
Phone
(479) 464-5599
Address
3730 S PINNACLE HILLS PKWY STE 2
Enumeration Date
9 August 2005
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
4789668906
Group Practice PAC ID
3678542073
Professional Enrollment ID
I20040615001748
Address ID
AR727034965FA3383XCTXX400
Telehealth
Yes

Contacts

Secure Messaging
martin.hannon@mana.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,499 FAMILY PRACTICE in AR

Loading map...

Provider Addresses for MARTIN A HANNON (MD)

  • South Pinnacle Hills Parkway, Rogers, Benton County, Arkansas, 72758, United States

    ROGERS, AR 727588897

    Phone: (479) 464-5599

    Fax: (479) 464-5598

    Type: Location

  • PO BOX 1523

    FAYETTEVILLE, AR 727021523

    Phone: (479) 571-6038

    Fax: (479) 582-0222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $2,570.

Total Amount is formed as General ($2,570) + Research ($0) + Ownership ($0) = $2,570.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($505).

Total Amount

$2,570

General + Research + Ownership

Payments

162

Total payment records

General Amount

$2,570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-15

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
I20040615001748IFamily PracticeARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes373159$0
81002Urinalysis, manual test190116$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes16031$0
99497Advance care planning, first 30 minutes132132$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit129129$0
View full utilization report →

Insurance plans in this area (ZIP 72758)

Loading plans...

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: 3678542073View full group profile
NameSpecialtyState
E N D O C R I N O L O G YAR
Internal MedicineAR
Diagnostic RadiologyAR
-AR
-AR
Pulmonary Disease, Critical Care (Intensivists)AR
-AR
Diagnostic RadiologyOK
-AR
Diagnostic RadiologyAR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MARTIN A HANNON (MD)?
NPI 1124029624 is assigned to MARTIN A HANNON (MD) under the national enumeration system.
Is MARTIN A HANNON (MD) active in the national directory?
MARTIN A HANNON (MD)'s public NPI profile is in an active state.
What kind of provider is MARTIN A HANNON (MD)?
The page reflects Family Medicine Physician for MARTIN A HANNON (MD). Clinical services aligned with this taxonomy classification.
Where is MARTIN A HANNON (MD)'s primary listing?
We display Rogers, Arkansas because that is what the record indicates for MARTIN A HANNON (MD).
Is MARTIN A HANNON (MD) a real provider?
This page reflects official NPPES data for NPI 1124029624. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

ALOK JAIN (MD)

Psychiatry Physician
3600, South National Avenue, Springfield, Greene County, Missouri, 65807, United States
NPI: 1285630095
2708, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States
NPI: 1134126600

DR. MEAGHAN MCNULTY (MD)

Internal Medicine Physician
Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States
NPI: 1366449423

MITCHELL CRAIG PRESTON (M.D.)

Family Medicine Physician
2158 BUTTERFIELD COACH RD STE 100
NPI: 1417955766

DR. CORWIN D PETTY (MD)

Family Medicine Physician
Market Street, Rogers, Benton County, Arkansas, 72758, United States
NPI: 1295735959

ROBIN A. COX (DO)

Emergency Medicine Physician
4620 Rogers Ave Ste 103
NPI: 1265413629

JANICE L WILLIAMS (M.D.)

Family Medicine Physician
2, Halsted Circle, Rogers, Benton County, Arkansas, 72756, United States
NPI: 1972588440

Unknown Individual

Emergency Medicine Physician
South Promenade Boulevard, Rogers, Benton County, Arkansas, 72758, United States
NPI: 1871570648

TIMOTHY WAYNE YAWN (MD)

Family Medicine Physician
Rogers Family Practice, 1615, West Persimmon Street, Rogers, Benton County, Arkansas, 72756, United States
NPI: 1801869185