DR. BENNY JOE MARTIN (DO) – Family Medicine Physician, NPI 1619975232

DR. BENNY JOE MARTIN (DO) is a healthcare provider. based in San marcos, California. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 20A12203 (CA). The NPI Number for DR. BENNY JOE MARTIN (DO) is 1619975232

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENNY JOE MARTIN (DO)
NPI
1619975232
Phone
(800) 290-5000
Address
400 CRAVEN RD
Enumeration Date
8 July 2005
Last Update Date
23 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6195285000
Graduation Year
1998 (28 years ago)
PAC ID
6204804099
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20150326000013
Address ID
CA921202507SA4647XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. BENNY JOE MARTIN (DO)

  • 400, Craven Road, San Marcos, San Diego County, California, 92078, United States

    SAN MARCOS, CA 920784201

    Phone: (800) 290-5000

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Astellas Pharma US Inc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$22
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: 2015-03-26

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
I20150326000013IFamily PracticeCATBD

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 92078)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BENNY JOE MARTIN (DO)?
DR. BENNY JOE MARTIN (DO) — NPI 1619975232 — is the standard way to identify this listing.
Is DR. BENNY JOE MARTIN (DO) listed as active for patients and plans?
The listing shows DR. BENNY JOE MARTIN (DO) as active in the NPI system.
What is DR. BENNY JOE MARTIN (DO)'s specialty?
The listing groups DR. BENNY JOE MARTIN (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. BENNY JOE MARTIN (DO) list a practice location?
Patients near San Marcos, California may find DR. BENNY JOE MARTIN (DO) in results; validate coverage separately.
Why does DR. BENNY JOE MARTIN (DO) 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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