MARY SUE MARTIN (MD) – Emergency Medicine Physician, NPI 1245264829

MARY SUE MARTIN (MD) is a healthcare provider. based in Crystal river, Florida. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 41007 (TN). The NPI Number for MARY SUE MARTIN (MD) is 1245264829

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MARY SUE MARTIN (MD)
NPI
1245264829
Phone
(352) 795-6560
Address
6201 N SUNCOAST BLVD
Enumeration Date
10 July 2006
Last Update Date
23 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3525765600
Graduation Year
2003 (23 years ago)
PAC ID
7214942309
Group Practice PAC ID
8628153087
Professional Enrollment ID
I20080610000477
Address ID
FL344286712CR6201XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for MARY SUE MARTIN (MD)

  • Suncoast Boulevard, Cutlers, Crystal River, Citrus County, Florida, 34429, United States

    CRYSTAL RIVER, FL 344286712

    Phone: (352) 795-6560

    Type: Location

  • West Sandy Hill Street, Lecanto, Citrus County, Florida, 34461, United States

    LECANTO, FL 344618759

    Phone: (352) 527-1475

    Type: Mailing

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Penumbra, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Penumbra, Inc.$18
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: 2008-06-10

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
I20080610000477IFamily PracticeFLTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only420352$0
99285Emergency department visit with high level of medical decision making353328$0
99291Critical care, first 30-74 minutes135130$0
99284Emergency department visit with moderate level of medical decision making6663$0
View full utilization report →

Insurance plans in this area (ZIP 34428)

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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: 8628153087View full group profile
NameSpecialtyState
Emergency MedicineNV
Emergency MedicineFL
Emergency MedicineRI
Emergency MedicineGA
-FL
Internal Medicine, Emergency MedicineFL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm MARY SUE MARTIN (MD)'s NPI?
Yes. MARY SUE MARTIN (MD) is listed with NPI 1245264829 in the public NPI dataset.
Does the file indicate MARY SUE MARTIN (MD) is practicing under active NPI?
Directory data currently reports MARY SUE MARTIN (MD) as active.
What is MARY SUE MARTIN (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for MARY SUE MARTIN (MD) here. Clinical services aligned with this taxonomy classification.
Does MARY SUE MARTIN (MD) list a practice location?
Patients near Crystal River, Florida may find MARY SUE MARTIN (MD) in results; validate coverage separately.
Is the information about MARY SUE MARTIN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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