W RANDY MARTIN (M.D.) – Pulmonary Disease Physician, NPI 1174566566

W RANDY MARTIN (M.D.) is a healthcare provider. based in Roseville, California. specializing in PULMONARY DISEASE, INFECTIOUS DISEASE. They hold the professional credentials M.D.. They hold a License No. G55146 (CA). The NPI Number for W RANDY MARTIN (M.D.) is 1174566566

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
W RANDY MARTIN (M.D.)
NPI
1174566566
Phone
(916) 786-7498
Address
5 MEDICAL PLAZA DR
Enumeration Date
14 June 2006
Last Update Date
28 February 2013

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9166793590
Graduation Year
1984 (42 years ago)
PAC ID
9032293089
Group Practice PAC ID
4981506730
Professional Enrollment ID
I20080429000691
Address ID
CA956612867RO5XXXXDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,780 PULMONARY DISEASE in CA

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Provider Addresses for W RANDY MARTIN (M.D.)

  • 5, Medical Plaza Drive, Roseville, Placer County, California, 95661, United States

    SUITE 190

    ROSEVILLE, CA 956612865

    Phone: (916) 786-7498

    Fax: (916) 786-2715

    Type: Location

  • 3637 MISSION AVE

    SUITE 7

    CARMICHAEL, CA 956082946

    Phone: (916) 786-7498

    Fax: (916) 786-2715

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 424 Open Payments records for all available years, with a total value of $9,872.

Total Amount is formed as General ($9,872) + Research ($0) + Ownership ($0) = $9,872.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Gilead Sciences, Inc. ($2,345).

Total Amount

$9,872

General + Research + Ownership

Payments

424

Total payment records

General Amount

$9,872

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

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: 2008-04-29

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
I20080429000691IPulmonary DiseaseCATBD

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 minutes259136$0
11042Removal of skin and tissue, 20.0 sq cm or less20956$0
99213Established patient office or other outpatient visit, 20-29 minutes20259$0
99215Established patient office or other outpatient visit, 40-54 minutes5548$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less5114$0
View full utilization report →

Insurance plans in this area (ZIP 95661)

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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: 4981506730View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseCA
Hospitalist, Pulmonary Disease, Family Practice, Internal MedicineIN
Nurse PractitionerCA
Pulmonary DiseaseCA
Pulmonary Disease, Critical Care (Intensivists)CA
Neurology, Internal MedicineCA
-CA
Pulmonary Disease, Critical Care (Intensivists)CA
Pulmonary Disease, Critical Care (Intensivists)CA
Critical Care (Intensivists), Pulmonary DiseaseCA

Reviews

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Frequently asked questions

Can I use this page to confirm W RANDY MARTIN (M.D.)'s NPI?
Yes. W RANDY MARTIN (M.D.) is listed with NPI 1174566566 in the public NPI dataset.
Does the file indicate W RANDY MARTIN (M.D.) is practicing under active NPI?
Directory data currently reports W RANDY MARTIN (M.D.) as active.
What is W RANDY MARTIN (M.D.)'s specialty?
The listing groups W RANDY MARTIN (M.D.) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where is W RANDY MARTIN (M.D.) based?
W RANDY MARTIN (M.D.) is tied to Roseville, California in the data we show; additional addresses may exist on the full record.
Why does W RANDY MARTIN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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